DEPARTMENT OF INSURANCE

Affiliations

Name	Jacobs, Kent J	DOIID	311213	NAIC NPN	1814082

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health Maintenance Organization	7/30/1998	3/1/2001
Inactive	Non Resident	Agent	Health	5/31/2013	9/30/2020
Inactive	Non Resident	Agent	Life	5/31/2013	9/30/2020
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	8/7/2017	9/30/2020
Inactive	Aetna Life Insurance Company	301140	Agent - Health	8/7/2017	9/30/2020
Inactive	Aetna Life Insurance Company	301140	Agent - Life	8/7/2017	9/30/2020
Inactive	American Equity Investment Life Insurance Company	300389	Agent - Life	2/1/2002	9/14/2006
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Health	2/26/2001	5/28/2002
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	2/26/2001	5/28/2002
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/4/2005	9/30/2006
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	1/4/2005	9/30/2006
Inactive	Anthem Life Insurance Company	301209	Agent - Health	1/1/2005	9/30/2006
Inactive	Anthem Life Insurance Company	301209	Agent - Life	1/1/2005	9/30/2006
Inactive	Continental Casualty Company	301019	Agent - Health	12/7/2001	11/29/2004
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	8/7/2017	9/30/2020
Inactive	Equitable Life Insurance Company of Iowa	301633	Agent - Life	5/10/2002	1/1/2004
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	12/7/2001	9/30/2006
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health Maintenance Organization	8/7/1998	3/1/2001
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	12/7/2001	9/30/2006
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	7/30/1998	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	12/7/2001	9/30/2006
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	12/9/2003	5/4/2005
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	12/9/2003	5/4/2005
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	10/17/2002	9/30/2006
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	10/17/2002	9/30/2006
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Health	10/17/2002	9/30/2006
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Life	8/9/2002	9/30/2006
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	10/2/2001	6/28/2004
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	10/2/2001	6/28/2004
Inactive	Medico Insurance Company	301559	Agent - Health	11/9/2000	10/4/2001
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	12/7/2001	6/15/2006
Inactive	Nassau Life Insurance Company of Texas	300872	Agent - Health	7/15/2002	6/2/2005
Inactive	Nassau Life Insurance Company of Texas	300872	Agent - Life	7/15/2002	6/2/2005
Inactive	Pacific Life Insurance Company	301848	Agent - Health	9/19/1989	1/31/1996
Inactive	Pacific Life Insurance Company	301848	Agent - Life	9/19/1989	1/31/1996
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Health	12/7/2001	8/29/2005
Inactive	Pioneer Life Insurance Company	300110	Agent - Health	8/31/2000	8/18/2003
Inactive	Pioneer Life Insurance Company	300110	Agent - Life	1/22/2001	8/18/2003
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	12/7/2001	9/16/2004
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	7/24/2001	9/16/2004
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	5/15/2002	9/30/2006
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	5/15/2002	9/30/2006
Inactive	Security Life of Denver Insurance Company	300648	Agent - Life	5/17/2002	2/14/2005
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Life	5/13/2002	10/1/2003
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Health	10/27/2000	9/17/2003
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Life	1/22/2001	9/17/2003
Inactive	SilverScript Insurance Company	663526	Agent - Health	12/4/2019	9/30/2020
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	12/7/2001	6/26/2006
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	5/31/2001	6/26/2006
Inactive	State Mutual Insurance Company	300359	Agent - Health	10/12/2000	7/30/2003
Inactive	Transamerica Life Insurance and Annuity Company	300148	Agent - Life	8/9/2002	11/19/2003
Inactive	USG Annuity & Life Company	300457	Agent - Life	5/10/2002	8/12/2003
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Life	1/1/2004	9/30/2006
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	2/23/2018	9/30/2020
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	11/28/2016	9/30/2020
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Health	12/7/2001	9/30/2006
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Life	5/31/2001	9/30/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	HealthPoint Insurance and Investment Services, LLC	584134	Agent - Life	2/18/2004	1/27/2005
Inactive	HealthPoint Insurance and Investment Services, LLC	584134	Agent - Health	2/18/2004	1/27/2005
Inactive	Humana MarketPOINT Inc.	398092	Agent - Life	4/18/2001	2/4/2004
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	4/18/2001	2/4/2004
Inactive	Planchoice Inc.	400482	Agent - Life	3/5/2003	9/30/2006
Inactive	Planchoice Inc.	400482	Agent - Health	3/5/2003	9/30/2006