DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Jacobs, Nicole Lyn	DOIID	1238051	NAIC NPN	20418387

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/21/2022		11/30/2026
* 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	09/15/2026	11/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	4/26/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	4/26/2023
Active	Aetna Life Insurance Company	301140	Agent - Health	4/26/2023
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	4/3/2025
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	4/25/2023	5/29/2024
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	5/24/2023
Active	SilverScript Insurance Company	663526	Agent - Health	4/26/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	eHealthInsurance Services Inc.	514105	Agent - Health	5/8/2023	11/27/2023