DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Jackson, Nicole	DOIID	1092157	NAIC NPN	19472485

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	6/16/2025		4/30/2027
Inactive	Non Resident	Agent	Casualty	8/4/2020	4/30/2023
Inactive	Non Resident	Agent	Property	8/4/2020	4/30/2023
* 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	02/15/2027	04/30/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	7/21/2025	4/14/2026
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/1/2026
Active	Aetna Life Insurance Company	301140	Agent - Health	10/1/2026
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	9/15/2026
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	7/21/2025	4/14/2026
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	9/28/2026
Active	SilverScript Insurance Company	663526	Agent - Health	10/1/2026
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	9/15/2026
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/15/2026
Inactive	Wellfleet Insurance Company	300542	Agent - Casualty	8/21/2020	12/4/2020
Inactive	Wellfleet New York Insurance Company	300245	Agent - Casualty	8/21/2020	12/4/2020
Inactive	Wellfleet New York Insurance Company	300245	Agent - Property	8/21/2020	12/4/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	biBERK Insurance Services, Inc.	909097	Agent - Casualty	8/21/2020	12/4/2020
Inactive	biBERK Insurance Services, Inc.	909097	Agent - Property	8/21/2020	12/4/2020