DEPARTMENT OF INSURANCE

Affiliations

Name	Jackson, Dominia	DOIID	966509	NAIC NPN	17752862

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	9/17/2025	2/29/2028
Active	Non Resident	Agent	Health	9/17/2025	2/29/2028
* 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	Accendo Insurance Company	300312	Agent - Life	10/31/2025	7/4/2026
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	10/6/2017	2/29/2020
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	10/31/2025	7/4/2026
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/9/2025	6/15/2026
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/9/2025	6/15/2026
Inactive	Aetna Life Insurance Company	301140	Agent - Life	10/6/2017	2/29/2020
Inactive	American Continental Insurance Company	643130	Agent - Life	4/4/2018	2/29/2020
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/22/2025	3/10/2026
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/22/2025	3/10/2026
Active	CMFG Life Insurance Company	300929	Agent - Health	4/6/2026
Active	CMFG Life Insurance Company	300929	Agent - Life	4/6/2026
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	10/1/2025	10/23/2025
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/22/2025	3/10/2026
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	10/31/2025	7/4/2026
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	10/31/2025	7/4/2026
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	10/9/2025
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	10/6/2017	2/29/2020
Active	MEMBERS Life Insurance Company	301289	Agent - Health	4/6/2026
Active	MEMBERS Life Insurance Company	301289	Agent - Life	4/6/2026
Inactive	SilverScript Insurance Company	663526	Agent - Health	10/9/2025	6/15/2026
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	7/12/2019	2/29/2020
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/1/2025	10/23/2025
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	10/1/2025	10/23/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Willis Towers Watson Midwest, Inc	534348	Agent - Life	10/27/2026
Active	Willis Towers Watson Midwest, Inc	534348	Agent - Health	10/27/2026