DEPARTMENT OF INSURANCE

Name	Jackson, William Mason	DOIID	364801	NAIC NPN	1486876

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	General Lines	5/3/1988	8/15/2000
Inactive	Resident	Agent	Health	10/4/1988	4/15/2011
Inactive	Resident	Agent	Property	8/15/2000	4/15/2011
Inactive	Resident	Agent	Life	10/4/1988	4/15/2011
Inactive	Resident	Agent	Health Maintenance Organization	3/4/1994	3/1/2001
Inactive	Resident	Agent	Casualty	8/15/2000	4/15/2011

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

No License Renewal Information

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Business / Home Office	8000 Barbour Manor Drive Louisville, KY 40241
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(502) 566-0688