DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Sanders, Jacob	DOIID	1126354	NAIC NPN	15835223

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	3/25/2021		1/31/2027
Active	Non Resident	Agent	Property	3/25/2021		1/31/2027
Active	Non Resident	Agent	Health	3/25/2021		1/31/2027
Active	Non Resident	Agent	Life	3/25/2021		1/31/2027
* 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	11/15/2026	01/31/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	All Savers Insurance Company	301940	Agent - Health	4/6/2021	4/3/2023
Inactive	All Savers Insurance Company	301940	Agent - Life	4/6/2021	4/3/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	4/6/2021	3/27/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	4/6/2021	3/27/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Acrisure Midwest Partners Insurance Services LLC	1270948	Agent - Casualty
Denied	Acrisure Midwest Partners Insurance Services LLC	1270948	Agent - Life
Denied	Acrisure Midwest Partners Insurance Services LLC	1270948	Agent - Health
Denied	Acrisure Midwest Partners Insurance Services LLC	1270948	Agent - Property