DEPARTMENT OF INSURANCE
Affiliations
NameJackson, Simone DOIID849311NAIC NPN17179507
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife9/13/2022 10/31/2025
ActiveNon ResidentAgentHealth9/13/2022 10/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent08/15/202510/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAccendo Insurance Company300312Agent - Life7/5/2024 
ActiveAetna Health Inc. (PA)660717Agent - Health10/3/2022 
ActiveAetna Health of Ohio Inc.1065035Agent - Health10/3/2022 
ActiveAetna Life Insurance Company301140Agent - Health10/3/2022 
InactiveAetna Life Insurance Company301140Agent - Life2/22/20165/12/2019
ActiveAmerican General Life Insurance Company301585Agent - Health7/15/2024 
ActiveAmerican General Life Insurance Company301585Agent - Life7/15/2024 
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health8/1/2024 
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health9/23/202110/31/2021
ActiveAnthem Insurance Companies, Inc.300941Agent - Health8/1/2024 
InactiveAnthem Life Insurance Company301209Agent - Health6/26/202010/31/2021
InactiveAnthem Life Insurance Company301209Agent - Life8/1/20244/15/2025
InactiveArcadian Health Plan, Inc.728196Agent - Health7/29/20208/24/2021
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/29/2024 
InactiveCompBenefits Dental, Inc.591692Agent - Health6/26/201510/31/2015
ActiveCompcare Health Services Insurance Corporation948751Agent - Health8/1/2024 
InactiveDental Concern Inc. (The)301641Agent - Health6/26/201510/31/2015
InactiveEssence Healthcare, Inc.657425Agent - Health10/11/20223/20/2023
InactiveFirst Health Life & Health Insurance Company301735Agent - Health2/22/20165/12/2019
ActiveGolden Rule Insurance Company301943Agent - Health7/9/2024 
ActiveGolden Rule Insurance Company301943Agent - Life7/9/2024 
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health9/17/20208/24/2021
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health6/26/201510/31/2015
InactiveHumana Health Plan, Inc.300142Agent - Health6/26/201510/31/2015
InactiveHumana Insurance Company301104Agent - Health8/6/20208/24/2021
InactiveHumana Insurance Company301104Agent - Life6/26/201510/31/2015
InactiveHumana Insurance Company of Kentucky300826Agent - Health6/26/201510/31/2015
InactiveHumana Insurance Company of Kentucky300826Agent - Life6/26/201510/31/2015
InactiveHumana Medical Plan, Inc.801568Agent - Health6/26/201510/31/2015
InactiveKanawha Insurance Company300127Agent - Health6/26/201510/22/2015
InactiveKanawha Insurance Company300127Agent - Life6/26/201510/22/2015
InactiveLumico Life Insurance Company300354Agent - Health5/6/202011/24/2020
InactiveLumico Life Insurance Company300354Agent - Life1/8/202011/24/2020
ActiveMolina Healthcare of Kentucky, Inc.1035856Agent - Health9/30/2024 
ActiveSilverScript Insurance Company663526Agent - Health10/3/2022 
ActiveUnitedHealthcare Insurance Company300946Agent - Health7/29/2024 
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health9/9/201612/15/2016
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health9/19/202212/22/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health7/29/20202/10/2021
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health4/14/201612/5/2016
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health7/29/2024 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveCBISA Reaquisitian Corp547026Agent - Health2/20/201611/2/2019
InactiveCBISA Reaquisitian Corp547026Agent - Life2/20/201611/2/2019
InactiveDesignated Agent Company Inc.681257Agent - Health2/20/201611/2/2019
InactiveDesignated Agent Company Inc.681257Agent - Life2/20/201611/2/2019

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