DEPARTMENT OF INSURANCE

Affiliations

Name	Jackson, Vivienne L	DOIID	974924	NAIC NPN	12900816

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Health	10/31/2017	9/30/2025
Pending Replacement	Non Resident	Agent	Life	10/31/2017	9/30/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	07/15/2025	09/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AXIS Insurance Company	301290	Agent - Health	8/27/2018	2/27/2019
Pending Replacement	Accendo Insurance Company	300312	Agent - Health	10/26/2021
Pending Replacement	Accendo Insurance Company	300312	Agent - Life	10/26/2021
Pending Replacement	Aetna Health Inc. (PA)	660717	Agent - Health	8/25/2021
Pending Replacement	Aetna Health and Life Insurance Company	300523	Agent - Health	6/19/2020
Pending Replacement	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/25/2021
Pending Replacement	Aetna Life Insurance Company	301140	Agent - Health	8/25/2021
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	6/5/2020	4/8/2022
Inactive	American Continental Insurance Company	643130	Agent - Life	6/19/2020	8/11/2021
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	7/19/2019	7/23/2020
Pending Replacement	American General Life Insurance Company	301585	Agent - Health	7/14/2023
Pending Replacement	American General Life Insurance Company	301585	Agent - Life	7/14/2023
Inactive	CMFG Life Insurance Company	300929	Agent - Health	6/2/2021	7/20/2021
Inactive	CMFG Life Insurance Company	300929	Agent - Life	6/2/2021	7/20/2021
Pending Replacement	Continental American Insurance Company	301700	Agent - Health	11/22/2021
Pending Replacement	Continental American Insurance Company	301700	Agent - Life	11/22/2021
Pending Replacement	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	6/19/2020
Pending Replacement	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	10/26/2021
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	10/14/2021	7/31/2025
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	10/14/2021	7/31/2025
Pending Replacement	ReliaStar Life Insurance Company	301712	Agent - Health	8/12/2020
Pending Replacement	ReliaStar Life Insurance Company	301712	Agent - Life	8/12/2020
Pending Replacement	SilverScript Insurance Company	663526	Agent - Health	8/25/2021
Inactive	Starmount Life Insurance Company	628031	Agent - Health	10/14/2021	7/31/2025
Pending Replacement	Trustmark Insurance Company	300317	Agent - Health	10/16/2022
Pending Replacement	Trustmark Insurance Company	300317	Agent - Life	10/16/2022
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	10/14/2021	7/31/2025
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	10/14/2021	7/31/2025
Inactive	Unum Insurance Company	301499	Agent - Health	10/14/2021	7/31/2025
Inactive	Unum Insurance Company	301499	Agent - Life	10/14/2021	7/31/2025
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	4/14/2022	7/4/2023
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	11/23/2021	7/4/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	7/11/2019	4/18/2022
Pending Replacement	Optavise, LLC	671337	Agent - Life	10/10/2018
Pending Replacement	Optavise, LLC	671337	Agent - Health	10/10/2018