black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

CLYDELL JACKSON

PRODUCER NON-RESIDENT

License Number:
PRN328924
Status:
First Licensure:
04/04/2019
Cancel Date:
None

Mailing:
INDIANAPOLIS, IN 46229
Phone:
+1 (813) 255-9100
Fax:
+1 (813) 255-9100
Email:
clydell.jackson@aptia-group.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 04/04/2019

Agency

Name Issue Date License Number Expiration Date Cancel Date
APTIA INSURANCE SERVICES GROUP, LLC
03/22/2024 AGN456063
MERCER HEALTH & BENEFITS ADMINISTRATION LLC
01/09/2023 AGN189659

Employer

Name Issue Date License Number Expiration Date Cancel Date
LUMICO LIFE INSURANCE COMPANY
11/23/2021 LHF300009 02/09/2024
NEW YORK LIFE INSURANCE AND ANNUITY CORPORATION
04/04/2019 LHF867 09/20/2021
NEW YORK LIFE INSURANCE COMPANY
04/04/2019 LHF230 09/20/2021
UNITED OF OMAHA LIFE INSURANCE COMPANY
05/26/2022 LHF28 01/10/2023

Authority

Description Issue Date Termination Date Status
HEALTH 04/04/2019 Active
LIFE 04/04/2019 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
19081200

Other Addresses

Address Type
INDIANAPOLIS, IN 46229
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: 11/21/2025 06:07:14 AM