DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Jackson, Tristian Alexander	DOIID	1234891	NAIC NPN	20430633

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/13/2024		12/31/2025
Inactive	Non Resident	Agent	Life	10/5/2022	12/31/2023
* 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	10/15/2025	12/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	10/13/2022	12/31/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	6/15/2025
Active	Aetna Life Insurance Company	301140	Agent - Health	6/15/2025
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	11/6/2023	1/8/2024
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	11/6/2023	1/8/2024
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/21/2024	6/5/2025
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/21/2024	6/5/2025
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	8/20/2024	11/26/2024
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/21/2024	6/5/2025
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	8/20/2024
Active	SilverScript Insurance Company	663526	Agent - Health	6/15/2025
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/20/2024	11/26/2024
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	10/6/2022	11/21/2022
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/20/2024	11/26/2024
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/25/2022	1/5/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Gohealth LLC	691445	Agent - Health	8/26/2024	12/20/2024