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DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

TY M. JACKSON

PRODUCER NON-RESIDENT

License Number:
PRN483637
Status:
First Licensure:
05/08/2024
Cancel Date:
None

Mailing:
RESEDA, CA 91335
Phone:
+1 (626) 773-1535
Email:
ty.profession@gmail.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 05/08/2024

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN AMICABLE LIFE INSURANCE COMPANY OF TEXAS
04/14/2025 LHF1004
ATHENE ANNUITY AND LIFE COMPANY
11/19/2024 LHF64369
GERBER LIFE INSURANCE COMPANY
07/22/2024 LHF185

Authority

Description Issue Date Termination Date Status
HEALTH 05/08/2024 Active
LIFE 05/08/2024 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
20391958

Other Addresses

Address Type
RESEDA, CA 91335
Office

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 11/28/2025 12:30:26 PM