DEPARTMENT OF INSURANCE
Affiliations
NameLackey, Jacob DOIID1330517NAIC NPN19947047
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentProperty3/19/2024 10/31/2025
ActiveNon ResidentAgentCasualty3/19/2024 10/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent08/15/202510/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican Family Connect Property and Casualty Insurance Company622403Agent - Casualty10/30/20244/3/2025
InactiveAmerican Family Connect Property and Casualty Insurance Company622403Agent - Property10/30/20244/3/2025
InactiveAmerican Modern Home Insurance Company300791Agent - Casualty11/4/20244/9/2025
InactiveAmerican Modern Home Insurance Company300791Agent - Property11/4/20244/9/2025
InactiveBristol West Insurance Company301655Agent - Casualty11/20/20245/29/2025
InactiveBristol West Insurance Company301655Agent - Property11/20/20245/29/2025
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty8/14/20245/29/2025
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property8/14/20245/29/2025
InactiveHomesite Insurance Company301139Agent - Casualty10/30/20244/3/2025
InactiveHomesite Insurance Company301139Agent - Property10/30/20244/3/2025
InactiveHomesite Insurance Company of the Midwest874850Agent - Casualty10/30/20244/3/2025
InactiveHomesite Insurance Company of the Midwest874850Agent - Property10/30/20244/3/2025
InactiveMidvale Indemnity Company300292Agent - Casualty10/30/20244/3/2025
InactiveMidvale Indemnity Company300292Agent - Property10/30/20244/3/2025
InactiveNational General Insurance Company300152Agent - Casualty4/2/202410/11/2024
InactiveNational General Insurance Company300152Agent - Property4/2/202410/11/2024
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAffinity Brokerage, LLC544886Agent - Casualty4/2/202410/14/2024
InactiveAffinity Brokerage, LLC544886Agent - Property4/2/202410/14/2024
InactiveAmerican Family Connect Insurance Agency, Inc.619157Agent - Casualty11/6/20245/29/2025
InactiveAmerican Family Connect Insurance Agency, Inc.619157Agent - Property11/6/20245/29/2025
InactiveDirect General Insurance Agency Inc1018980Agent - Casualty4/2/202410/14/2024
InactiveDirect General Insurance Agency Inc1018980Agent - Property4/2/202410/14/2024
InactiveNational General Ins Marketing Inc621228Agent - Casualty4/2/202410/14/2024
InactiveNational General Ins Marketing Inc621228Agent - Property4/2/202410/14/2024

© Commonwealth of Kentucky. All rights reserved.