DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Jackson, Lacey Dawnique	DOIID	1026200	NAIC NPN	18846328

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	9/10/2021	9/30/2023
Inactive	Non Resident	Agent	Personal Lines	1/23/2019	9/30/2023
Inactive	Non Resident	Agent	Life	9/10/2021	9/30/2023
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	12/30/2021	11/17/2023
Inactive	Accendo Insurance Company	300312	Agent - Life	12/30/2021	9/30/2023
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	12/30/2021	9/30/2023
Inactive	American General Life Insurance Company	301585	Agent - Health	12/21/2021	10/5/2023
Inactive	American General Life Insurance Company	301585	Agent - Life	12/21/2021	10/5/2023
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	12/9/2021	12/21/2022
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	9/15/2022	9/29/2022
Inactive	CompBenefits Insurance Company	301864	Agent - Health	9/12/2022	9/29/2022
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	12/30/2021	9/30/2023
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	12/30/2021	9/30/2023
Inactive	Humana Insurance Company	301104	Agent - Health	9/12/2022	9/29/2022
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	9/15/2022	9/29/2022
Inactive	Progressive Direct Insurance Company	301379	Agent - Personal Lines	2/4/2021	11/22/2021
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/3/2021	12/29/2021
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Life	10/3/2021	9/30/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ttec Financial Services Management LLC	881063	Agent - Personal Lines	5/27/2021	11/22/2021