DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Jaicomo, David Anthony	DOIID	303019	NAIC NPN	1124626

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	5/10/1994	10/31/2004
Inactive	Non Resident	Agent	Health	5/10/1994	3/31/1997
* 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	Brighthouse Life Insurance Company	301829	Agent - Life	10/29/1997	12/15/2003
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Life	5/26/1999	10/31/2004
Inactive	MetLife Life and Annuity Company of Connecticut	301593	Agent - Life	10/29/1997	10/31/2004
Inactive	Pacific Life Insurance Company	301848	Agent - Life	7/16/1996	5/1/2003
Inactive	RiverSource Life Insurance Company	301952	Agent - Health	5/10/1994	3/31/1997
Inactive	RiverSource Life Insurance Company	301952	Agent - Life	5/10/1994	3/31/1997

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	SBS Insurance Brokers of Kentucky Inc.	398096	Agent - Life	3/31/1997	2/27/2004
Inactive	SBS Insurance Brokers of Kentucky Inc.	398096	Agent - Health	6/21/1994	3/31/1997