DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Driscoll, Jacob Todd	DOIID	1214327	NAIC NPN	20276178

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	7/1/2022		2/28/2027
Active	Non Resident	Agent	Life	7/1/2022		2/28/2027
* 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	12/15/2026	02/28/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Ameritas Life Insurance Corporation	300126	Agent - Health	1/27/2026
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/1/2025
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	7/7/2022	9/17/2025
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	7/7/2022	9/17/2025
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	10/30/2025
Active	Mutual of Omaha Insurance Company	301012	Agent - Health	11/3/2025
Active	National Health Insurance Company	300554	Agent - Health	3/25/2026
Active	National Health Insurance Company	300554	Agent - Life	3/25/2026

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ushealth Advisors Llc	713288	Agent - Life	7/7/2022	9/17/2025
Inactive	Ushealth Advisors Llc	713288	Agent - Health	7/7/2022	9/17/2025