DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	White, Jacob David	DOIID	1114907	NAIC NPN	19250286

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	12/28/2020	6/30/2024
Inactive	Non Resident	Agent	Health	12/28/2020	6/30/2024
* 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	Ameritas Life Insurance Corporation	300126	Agent - Health	12/28/2020	5/16/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Ameriprise Financial Services, LLC	398326	Agent - Health
Denied	Ameriprise Financial Services, LLC	398326	Agent - Life