DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Adams, Jacob C	DOIID	1094020	NAIC NPN	19364316

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	8/17/2020		5/31/2025
Active	Non Resident	Agent	Health	8/17/2020		5/31/2025
* 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	03/15/2025	05/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	4/17/2023	7/19/2023
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	4/17/2023	7/19/2023
Inactive	Aetna Life Insurance Company	301140	Agent - Health	4/17/2023	7/19/2023
Active	Freedom Life Insurance Company of America	300074	Agent - Health	8/19/2020
Active	Freedom Life Insurance Company of America	300074	Agent - Life	8/19/2020
Inactive	SilverScript Insurance Company	663526	Agent - Health	4/17/2023	7/19/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Ushealth Advisors Llc	713288	Agent - Life	8/19/2020
Active	Ushealth Advisors Llc	713288	Agent - Health	8/19/2020