DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Davis, Jackson Thomas	DOIID	1074773	NAIC NPN	19427877

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	5/30/2023		7/31/2025
Active	Non Resident	Agent	Life	5/30/2023		7/31/2025
* 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	05/15/2025	07/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Health	6/1/2023	12/15/2023
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Life	6/1/2023	12/15/2023
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	4/6/2020	9/8/2021
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	3/24/2020	10/1/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	World Financial Group Insurance Agency, LLC	400520	Agent - Life	3/24/2020	7/31/2021