DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Anderson, Jacob Austin	DOIID	1163981	NAIC NPN	20073698

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	10/5/2021	7/31/2023
Inactive	Non Resident	Agent	Casualty	10/5/2021	7/31/2023
* 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	American Modern Home Insurance Company	300791	Agent - Casualty	11/8/2021	9/15/2022
Inactive	American Modern Home Insurance Company	300791	Agent - Property	11/8/2021	9/15/2022
Inactive	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	4/7/2022	9/15/2022
Inactive	American Modern Property and Casualty Insurance Company	301954	Agent - Property	4/7/2022	9/15/2022
Inactive	Armed Forces Insurance Exchange	301448	Agent - Casualty	11/2/2021	9/6/2022
Inactive	Armed Forces Insurance Exchange	301448	Agent - Property	11/2/2021	9/6/2022
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	11/10/2021	9/22/2022
Inactive	Bristol West Insurance Company	301655	Agent - Property	11/10/2021	9/22/2022
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	11/10/2021	9/22/2022
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	11/10/2021	9/22/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Armed Forces Ins Agency Inc -000	553779	Agent - Casualty	11/4/2021	9/6/2022
Inactive	Armed Forces Ins Agency Inc -000	553779	Agent - Property	11/4/2021	9/6/2022