DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Jacobs, Debra	DOIID	1057888	NAIC NPN	19254445

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	9/25/2019	12/31/2021
Inactive	Non Resident	Agent	Health	9/25/2019	12/31/2021
Inactive	Non Resident	Agent	Property	9/25/2019	12/31/2021
* 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	AMEX Assurance Company	301728	Agent - Casualty	10/17/2019	6/25/2020
Inactive	AMEX Assurance Company	301728	Agent - Health	10/17/2019	6/25/2020
Inactive	AMEX Assurance Company	301728	Agent - Property	10/17/2019	6/25/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Alorica Customer Care, LLC	1011657	Agent - Casualty	10/23/2019	6/25/2020
Inactive	Alorica Customer Care, LLC	1011657	Agent - Health	10/23/2019	6/25/2020
Inactive	Alorica Customer Care, LLC	1011657	Agent - Property	10/23/2019	6/25/2020
Inactive	Alorica Inc.	1074645	Agent - Casualty	3/13/2020	6/25/2020
Inactive	Alorica Inc.	1074645	Agent - Health	3/13/2020	6/25/2020
Inactive	Alorica Inc.	1074645	Agent - Property	3/13/2020	6/25/2020