DEPARTMENT OF INSURANCE

Affiliations

Name	Jacobs, Donald Russell	DOIID	1083874	NAIC NPN	19026012

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	5/14/2020	3/31/2027
Active	Non Resident	Agent	Health	5/14/2020	3/31/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2025	03/31/2025	01/16/2025	01/16/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	9/23/2021	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	9/23/2021
Active	Aetna Health Inc. (PA)	660717	Agent - Health	9/24/2021
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	9/23/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/24/2021
Active	Aetna Life Insurance Company	301140	Agent - Health	9/24/2021
Active	American General Life Insurance Company	301585	Agent - Health	5/26/2020
Active	American General Life Insurance Company	301585	Agent - Life	5/26/2020
Active	Ameritas Life Insurance Corporation	300126	Agent - Health	6/28/2023
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	11/25/2020
Active	Anthem Life Insurance Company	301209	Agent - Health	11/25/2020
Active	Anthem Life Insurance Company	301209	Agent - Life	11/25/2020
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	9/23/2021
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	9/23/2021
Active	Golden Rule Insurance Company	301943	Agent - Health	8/20/2020
Active	Golden Rule Insurance Company	301943	Agent - Life	8/20/2020
Inactive	Lumico Life Insurance Company	300354	Agent - Life	8/17/2022	12/5/2023
Active	National Health Insurance Company	300554	Agent - Health	5/30/2021
Active	National Health Insurance Company	300554	Agent - Life	5/30/2021
Active	SilverScript Insurance Company	663526	Agent - Health	9/24/2021
Active	Standard Life and Accident Insurance Company	301534	Agent - Health	4/5/2024
Inactive	United Home Life Insurance Company	300421	Agent - Life	4/25/2021	11/9/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Velapoint LLC	721963	Agent - Life	5/26/2020
Active	Velapoint LLC	721963	Agent - Health	5/26/2020