DEPARTMENT OF INSURANCE
Affiliations
NameJackson, Justice DOIID1213423NAIC NPN19474315
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentProperty10/24/2024 12/31/2025
ActiveNon ResidentAgentCasualty10/24/2024 12/31/2025
ActiveNon ResidentAgentHealth6/27/2022 12/31/2025
ActiveNon ResidentAgentLife6/27/2022 12/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent10/15/202512/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveArcadian Health Plan, Inc.728196Agent - Health10/20/202212/3/2024
ActiveHiscox Insurance Company Inc.300894Agent - Casualty11/26/2024 
ActiveHiscox Insurance Company Inc.300894Agent - Property11/26/2024 
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health1/20/202312/3/2024
InactiveHumana Insurance Company301104Agent - Health3/22/202312/3/2024
ActiveMidvale Indemnity Company300292Agent - Casualty11/20/2024 
ActiveMidvale Indemnity Company300292Agent - Property11/20/2024 
ActiveWellfleet Insurance Company300542Agent - Casualty11/20/2024 
ActiveWellfleet Insurance Company300542Agent - Property11/20/2024 
ActiveWellfleet New York Insurance Company300245Agent - Casualty11/20/2024 
ActiveWellfleet New York Insurance Company300245Agent - Property11/20/2024 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveGeico Insurance Agency, LLC558517Agent - Casualty11/20/2024 
ActiveGeico Insurance Agency, LLC558517Agent - Property11/20/2024 
DeniedTrubridge Inc717747Agent - Life  
InactiveTrubridge Inc717747Agent - Health2/1/202412/3/2024

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