DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Jackson, Dawn R	DOIID	807431	NAIC NPN	15980551

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	4/6/2013	9/30/2019
Inactive	Non Resident	Agent	Life	4/6/2013	9/30/2019
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	11/20/2014	4/3/2016
Inactive	Aetna Life Insurance Company	301140	Agent - Health	11/20/2014	4/3/2016
Inactive	Aetna Life Insurance Company	301140	Agent - Life	11/20/2014	4/3/2016
Inactive	Continental American Insurance Company	301700	Agent - Health	4/6/2013	6/28/2017
Inactive	Continental American Insurance Company	301700	Agent - Life	4/6/2013	6/28/2017
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	11/20/2014	4/3/2016
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Life	11/20/2014	4/3/2016
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	6/22/2017	2/26/2018
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	6/22/2017	2/26/2018
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	4/11/2013	6/28/2017
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	4/11/2013	6/28/2017
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	10/7/2013	9/30/2019
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	10/7/2013	9/30/2019
Inactive	Trustmark Insurance Company	300317	Agent - Health	4/6/2013	6/29/2017
Inactive	Trustmark Insurance Company	300317	Agent - Life	4/6/2013	6/29/2017
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	4/11/2013	6/28/2017
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	4/11/2013	6/28/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ushealth Advisors Llc	713288	Agent - Health	6/22/2017	2/26/2018
Inactive	Ushealth Advisors Llc	713288	Agent - Life	6/22/2017	2/26/2018