DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Jacobs, Shaunna R	DOIID	318851	NAIC NPN	7167247

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	6/5/2009	7/31/2015
Inactive	Resident	Agent	Life	6/5/2009	7/31/2015
* 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
Denied	Mutual of Omaha Insurance Company	301012	Agent - Health
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	3/3/2011	3/4/2015
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	3/3/2011	3/4/2015
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	6/5/2009	3/4/2015
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	6/5/2009	3/4/2015
Denied	United of Omaha Life Insurance Company	300156	Agent - Health
Denied	United of Omaha Life Insurance Company	300156	Agent - Life

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	United Financial Services Inc	400566	Agent - Life	7/7/2011	3/4/2015
Inactive	United Financial Services Inc	400566	Agent - Health	7/7/2011	3/4/2015