DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Jacobson, Timothy	DOIID	716599	NAIC NPN	6965017

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/10/2026		2/29/2028
Inactive	Non Resident	Agent	Life	8/9/2010	2/28/2014
* 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
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/15/2026
Active	Aetna Life Insurance Company	301140	Agent - Health	9/15/2026
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/26/2010	2/28/2014
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/26/2010	2/28/2014
Active	SilverScript Insurance Company	663526	Agent - Health	9/15/2026

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Corporate Call Center, Inc	695480	Agent - Health	10/7/2010	2/28/2014
Inactive	Corporate Call Center, Inc	695480	Agent - Life	10/7/2010	2/28/2014
Inactive	Designated Agent Company Inc.	681257	Agent - Health	9/26/2010	2/28/2014
Inactive	Designated Agent Company Inc.	681257	Agent - Life	9/26/2010	2/28/2014