DEPARTMENT OF INSURANCE

Affiliations

Name	Jackson, Kevin Lynn	DOIID	860500	NAIC NPN	17423009

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Health	3/5/2019	11/30/2026
Active	Resident	Agent	Life	3/5/2019	11/30/2026
* 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	09/15/2026	11/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Equity Investment Life Insurance Company	300389	Agent - Life	12/1/2020	4/16/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/26/2021	12/20/2022
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/26/2021	12/20/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/3/2017	12/1/2018
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/3/2017	12/1/2018
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	4/18/2018	12/10/2018
Active	Athene Annuity and Life Company	301893	Agent - Life	3/15/2019
Active	Atlantic Coast Life Insurance Company	642114	Agent - Health	10/6/2020
Active	Atlantic Coast Life Insurance Company	642114	Agent - Life	10/6/2020
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/26/2021	12/20/2022
Active	EquiTrust Life Insurance Company	502870	Agent - Life	8/12/2025
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	4/4/2018	12/1/2018
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	4/4/2018	12/1/2018
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	4/18/2018	12/10/2018
Inactive	Humana Insurance Company	301104	Agent - Health	4/18/2018	12/1/2018
Inactive	Humana Insurance Company	301104	Agent - Life	4/18/2018	12/1/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	4/18/2018	12/10/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	4/18/2018	12/10/2018
Active	Nassau Life and Annuity Company	513671	Agent - Life	6/12/2025
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	3/13/2016	12/1/2018
Inactive	Oceanview Life and Annuity Company	301868	Agent - Life	5/3/2025	1/2/2026
Active	Ohio State Life Insurance Company (The)	300865	Agent - Life	1/20/2021
Inactive	SILAC Insurance Company	300535	Agent - Health	11/11/2020	1/3/2022
Active	SILAC Insurance Company	300535	Agent - Life	11/11/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	10/4/2017	12/1/2018
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/4/2017	12/1/2018