DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Jackson, Jeffrey Scott	DOIID	613256	NAIC NPN	829468

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	1/13/2023		10/31/2028
Active	Non Resident	Agent	Health	1/13/2023		10/31/2028
* 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	08/15/2026	10/31/2026	10/29/2026	10/29/2026	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	8/2/2024
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	2/25/2025
Active	Aetna Life Insurance Company	301140	Agent - Health	8/2/2024
Inactive	American General Life Insurance Company	301585	Agent - Health	12/26/2023	10/9/2025
Inactive	American General Life Insurance Company	301585	Agent - Life	12/26/2023	10/9/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/14/2005	10/31/2006
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/14/2005	10/31/2006
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	2/2/2026
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	1/17/2023
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	11/3/2026
Inactive	Golden Rule Insurance Company	301943	Agent - Health	9/29/2025	9/2/2026
Inactive	Golden Rule Insurance Company	301943	Agent - Life	9/29/2025	9/2/2026
Active	SilverScript Insurance Company	663526	Agent - Health	8/2/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	1/17/2023
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	1/17/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	9/14/2005	10/31/2006
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	9/14/2005	10/31/2006
Inactive	Medlink Inc	400721	Agent - Health	11/17/2005	10/31/2006
Inactive	Medlink Inc	400721	Agent - Life	11/17/2005	10/31/2006