DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Anderson, Jacob Randal	DOIID	1393207	NAIC NPN	18403522

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	4/4/2025		1/31/2027
Active	Non Resident	Agent	Life	4/4/2025		1/31/2027
* 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	11/15/2026	01/31/2027

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Blue GH Holdings, LLC	1395152	Agent - Life	4/15/2025
Active	Blue GH Holdings, LLC	1395152	Agent - Health	4/15/2025
Denied	Gohealth LLC	691445	Agent - Life
Denied	Gohealth LLC	691445	Agent - Health
Denied	e-Telequote Insurance, Inc.	687772	Agent - Life
Denied	e-Telequote Insurance, Inc.	687772	Agent - Health