DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Jackson, Derek Lynn	DOIID	766655	NAIC NPN	16382497

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/18/2011	12/18/2013
Inactive	Non Resident	Agent	Life	10/18/2011	12/18/2013
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Continental Insurance Company	643130	Agent - Health	12/1/2011	12/18/2013
Inactive	American Continental Insurance Company	643130	Agent - Life	12/1/2011	12/18/2013
Inactive	American Retirement Life Insurance Company	706303	Agent - Health	11/1/2013	12/18/2013
Inactive	American Retirement Life Insurance Company	706303	Agent - Life	11/1/2013	12/18/2013
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	12/1/2011	12/18/2013
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	12/1/2011	12/18/2013
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	5/9/2012	12/18/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Benefit Link Inc	703034	Agent - Life	3/7/2013	12/18/2013
Inactive	Benefit Link Inc	703034	Agent - Health	3/7/2013	12/18/2013