DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Jackson, Shereen	DOIID	1355695	NAIC NPN	21269895

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/14/2024		3/31/2026
* 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	01/15/2026	03/31/2026

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	9/10/2024	6/25/2025
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/1/2025
Active	Aetna Life Insurance Company	301140	Agent - Health	10/1/2025
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	9/10/2024	6/25/2025
Active	SilverScript Insurance Company	663526	Agent - Health	10/1/2025
Inactive	Tier One Insurance Company	301056	Agent - Health	9/10/2024	12/18/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	9/30/2024	12/9/2024