DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Ellis, Jacob Taylor	DOIID	1092167	NAIC NPN	19574541

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	6/2/2025		6/30/2026
Active	Non Resident	Agent	Health	6/2/2025		6/30/2026
* 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	Accendo Insurance Company	300312	Agent - Life	4/18/2023	6/30/2024
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	4/21/2023	8/6/2024
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	4/18/2023	6/30/2024
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	6/11/2025
Active	Aetna Life Insurance Company	301140	Agent - Health	6/11/2025
Inactive	American General Life Insurance Company	301585	Agent - Health	12/15/2022	6/30/2024
Inactive	American General Life Insurance Company	301585	Agent - Life	12/15/2022	6/30/2024
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	12/14/2022	8/7/2023
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	6/16/2022	4/18/2023
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	4/18/2023	6/30/2024
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	4/18/2023	6/30/2024
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	11/4/2021	2/22/2022
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	11/4/2021	2/22/2022
Active	SilverScript Insurance Company	663526	Agent - Health	6/11/2025
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	5/7/2023	8/20/2023
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	5/7/2023	8/20/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ushealth Advisors Llc	713288	Agent - Life	11/4/2021	2/22/2022
Inactive	Ushealth Advisors Llc	713288	Agent - Health	11/4/2021	2/22/2022