DEPARTMENT OF INSURANCE

Affiliations

Name	Larson, Jacob Christian	DOIID	1158375	NAIC NPN	1641292

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	9/13/2021	8/31/2025
Active	Non Resident	Agent	Health	9/13/2021	8/31/2025
* 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 - Health	4/28/2022	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	3/3/2022
Active	Aetna Health Inc. (PA)	660717	Agent - Health	9/27/2021
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	3/3/2022
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/27/2021
Active	Aetna Life Insurance Company	301140	Agent - Health	9/27/2021
Active	Allianz Life Insurance Company of North America	301791	Agent - Life	11/9/2021
Active	American General Life Insurance Company	301585	Agent - Health	8/25/2024
Active	American General Life Insurance Company	301585	Agent - Life	8/25/2024
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	6/10/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	12/28/2021	5/6/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/10/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/22/2021	5/6/2024
Active	Anthem Life Insurance Company	301209	Agent - Life	6/10/2024
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	10/27/2021
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	6/10/2024
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/3/2022
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	3/3/2022
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	8/16/2024
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/28/2022
Active	Humana Insurance Company	301104	Agent - Health	10/28/2022
Active	Humana Medical Plan, Inc.	801568	Agent - Health	10/25/2021
Active	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	7/18/2023
Active	SilverScript Insurance Company	663526	Agent - Health	9/27/2021
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	1/19/2022
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	1/19/2022	12/22/2022
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	1/19/2022
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	1/17/2022	5/30/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assurance IQ, LLC	919554	Agent - Life	10/24/2022	5/15/2024
Inactive	Assurance IQ, LLC	919554	Agent - Health	10/24/2022	5/15/2024