DEPARTMENT OF INSURANCE
Affiliations
NameJacobson, Matthew AndrewsDOIID330036NAIC NPN1631717
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentHealth9/19/20087/1/2010 
InactiveResidentAgentVariable Life and Variable Annuities9/19/20087/1/2010 
InactiveResidentAgentHealth Maintenance Organization11/4/19943/1/2001 
InactiveResidentAgentLife9/19/20087/1/2010 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAdvantage Care, Inc.300998Agent - Health Maintenance Organization11/22/199512/1/2000
InactiveAllianz Life Insurance Company of North America301791Agent - Health7/10/19965/19/2005
InactiveAllianz Life Insurance Company of North America301791Agent - Life7/10/19965/19/2005
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health12/11/19973/3/2003
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life12/11/19973/3/2003
InactiveAmerican Heritage Life Insurance Company300272Agent - Health1/5/199512/21/1998
InactiveAmerican Heritage Life Insurance Company300272Agent - Life1/5/199512/21/1998
InactiveAnthem Life Insurance Company301209Agent - Health1/11/19956/30/2008
InactiveAnthem Life Insurance Company301209Agent - Life1/11/19956/30/2008
InactiveAssurity Life Insurance Company301099Agent - Health11/17/19981/24/2003
InactiveAssurity Life Insurance Company301099Agent - Life11/17/19981/24/2003
InactiveAthene Annuity & Life Assurance Company301798Agent - Health8/16/199412/14/1998
InactiveAthene Annuity & Life Assurance Company301798Agent - Life8/16/199412/14/1998
InactiveBankers Life Insurance Company301784Agent - Health2/20/200111/18/2002
InactiveBankers Life Insurance Company301784Agent - Life2/20/200111/18/2002
InactiveBanner Life Insurance Company301696Agent - Life2/23/199910/14/2003
InactiveBaptist Health Plan, Inc.300157Agent - Health3/1/20016/30/2008
InactiveBaptist Health Plan, Inc.300157Agent - Health Maintenance Organization5/17/19993/1/2001
InactiveBerkshire Life Insurance Company301158Agent - Health1/8/20014/2/2001
InactiveBerkshire Life Insurance Company301158Agent - Life1/8/20017/1/2001
InactiveBerkshire Life Insurance Company of America300983Agent - Health6/27/200110/31/2006
InactiveBerkshire Life Insurance Company of America300983Agent - Life6/27/200110/31/2006
InactiveC.M. Life Insurance Company301335Agent - Health9/26/20084/17/2009
InactiveC.M. Life Insurance Company301335Agent - Life9/26/20084/17/2009
InactiveC.M. Life Insurance Company301335Agent - Variable Life and Variable Annuities9/26/20084/17/2009
InactiveCHA HMO, Inc.300662Agent - Health3/11/200211/17/2004
InactiveCanada Life Assurance Company301192Agent - Health1/24/19949/8/2003
InactiveCanada Life Assurance Company301192Agent - Life1/24/19949/8/2003
InactiveCentennial Life Insurance Company (The)301561Agent - Health12/14/19953/31/1997
InactiveCentennial Life Insurance Company (The)301561Agent - Life12/14/19953/31/1997
InactiveChase Insurance Life and Annuity Company300518Agent - Health7/26/19944/1/2007
InactiveChase Insurance Life and Annuity Company300518Agent - Life7/26/19944/1/2007
InactiveCigna National Health Insurance Company300235Agent - Health6/1/19933/31/1997
InactiveCigna National Health Insurance Company300235Agent - Life6/1/19933/31/1997
InactiveClarica Life Insurance Company - U.S.300207Agent - Health6/9/19943/31/1997
InactiveClarica Life Insurance Company - U.S.300207Agent - Life6/9/19943/31/1997
InactiveCompanion Life Insurance Company300191Agent - Health4/7/199412/31/1998
InactiveCompanion Life Insurance Company300191Agent - Life4/7/199412/31/1998
InactiveConseco Medical Insurance Company300719Agent - Health9/22/19943/9/1998
InactiveConseco Medical Insurance Company300719Agent - Life9/22/19943/9/1998
InactiveDearborn Life Insurance Company300401Agent - Health12/31/20046/30/2008
InactiveDearborn Life Insurance Company300401Agent - Life12/31/20046/30/2008
InactiveDental Concern Inc. (The)301641Agent - Health3/21/20097/1/2010
InactiveEquitable Financial Life Insurance Company of America301772Agent - Life12/10/20022/20/2003
InactiveEquitable Financial Life Insurance Company of America301772Agent - Variable Life and Variable Annuities12/10/20022/20/2003
InactiveFidelity & Guaranty Life Insurance Company301359Agent - Life8/16/20066/30/2008
InactiveFirst Colony Life Insurance Company301179Agent - Life10/26/19927/14/2004
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Health9/10/20036/30/2008
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Life9/10/20036/30/2008
InactiveGenworth Life Insurance Company300623Agent - Health1/3/20076/30/2008
InactiveGenworth Life Insurance Company300623Agent - Life1/3/20076/30/2008
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health1/5/19943/31/1997
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life1/5/19943/31/1997
InactiveGolden Rule Insurance Company301943Agent - Health7/23/19928/5/2005
InactiveGolden Rule Insurance Company301943Agent - Life7/23/19928/5/2005
InactiveGuardian Life Insurance Company of America301316Agent - Health8/24/199310/31/2006
InactiveGuardian Life Insurance Company of America301316Agent - Life8/24/199310/31/2006
InactiveHumana Health Plan, Inc.300142Agent - Health9/24/20087/1/2010
InactiveHumana Health Plan, Inc.300142Agent - Health Maintenance Organization11/4/19943/1/2001
InactiveHumana Insurance Company301104Agent - Health9/24/20087/1/2010
InactiveHumana Insurance Company301104Agent - Life9/24/20087/1/2010
InactiveHumana Insurance Company of Kentucky300826Agent - Health9/24/20087/1/2010
InactiveHumana Insurance Company of Kentucky300826Agent - Life9/24/20087/1/2010
InactiveIllinois Mutual Life Insurance Company301479Agent - Health12/21/19926/30/2008
InactiveIllinois Mutual Life Insurance Company301479Agent - Life12/21/19926/30/2008
InactiveInvestors Heritage Life Insurance Company300363Agent - Health2/18/19926/30/2008
InactiveInvestors Heritage Life Insurance Company300363Agent - Life2/18/19926/30/2008
InactiveJohn Alden Life Insurance Company300573Agent - Health9/29/19924/13/1998
InactiveJohn Alden Life Insurance Company300573Agent - Life9/29/19924/13/1998
InactiveKanawha Insurance Company300127Agent - Health9/24/20087/1/2010
InactiveKanawha Insurance Company300127Agent - Life9/24/20087/1/2010
InactiveLife Insurance Company of Alabama301439Agent - Health12/1/19926/30/2008
InactiveLife Insurance Company of Alabama301439Agent - Life12/1/19926/30/2008
InactiveLincoln Benefit Life Company301110Agent - Health9/22/20087/1/2010
InactiveLincoln Benefit Life Company301110Agent - Life9/22/20087/1/2010
InactiveLincoln Benefit Life Company301110Agent - Variable Life and Variable Annuities9/22/20087/1/2010
InactiveLincoln National Life Insurance Company (The)301382Agent - Health9/23/20036/30/2008
InactiveLincoln National Life Insurance Company (The)301382Agent - Life9/23/20036/30/2008
InactiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities3/11/20056/30/2008
InactiveMML Bay State Life Insurance Company301198Agent - Health3/25/20036/30/2008
InactiveMML Bay State Life Insurance Company301198Agent - Life3/25/20036/30/2008
InactiveMML Bay State Life Insurance Company301198Agent - Variable Life and Variable Annuities3/25/20036/30/2008
InactiveMONY Life Insurance Company301141Agent - Health5/1/19927/30/2001
InactiveMONY Life Insurance Company301141Agent - Life5/1/19927/30/2001
InactiveManhattan Life Insurance Company300880Agent - Life8/15/199511/30/1998
InactiveManhattan National Life Insurance Company301011Agent - Health6/22/199410/11/1999
InactiveManhattan National Life Insurance Company301011Agent - Life6/22/199410/11/1999
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Health9/26/20084/17/2009
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Life9/26/20084/17/2009
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Variable Life and Variable Annuities9/26/20084/17/2009
InactiveMedical Life Insurance Company300693Agent - Health8/31/199912/31/2004
InactiveMedical Life Insurance Company300693Agent - Life8/31/199912/31/2004
InactiveMetropolitan Life Insurance Company301948Agent - Health6/17/19986/30/2008
InactiveMetropolitan Life Insurance Company301948Agent - Life6/17/19986/30/2008
InactiveMutual of Omaha Insurance Company301012Agent - Health1/18/20006/30/2008
InactiveNassau Life Insurance Company of Kansas300667Agent - Health7/27/19933/31/1997
InactiveNassau Life Insurance Company of Kansas300667Agent - Life7/27/19933/31/1997
InactiveOccidental Life Insurance Company of North Carolina301185Agent - Health10/20/19941/31/1997
InactiveOccidental Life Insurance Company of North Carolina301185Agent - Life10/20/19941/31/1997
InactivePaul Revere Life Insurance Company300971Agent - Health2/25/199812/11/2002
InactivePaul Revere Life Insurance Company300971Agent - Life2/25/199812/11/2002
InactivePenn Mutual Life Insurance Company301394Agent - Health8/22/19957/22/1996
InactivePenn Mutual Life Insurance Company301394Agent - Life8/22/19957/22/1996
InactivePeoples Benefit Life Insurance Company301895Agent - Health7/24/19975/27/2005
InactivePeoples Benefit Life Insurance Company301895Agent - Life7/24/19975/27/2005
InactivePhiladelphia American Life Insurance Company300178Agent - Health6/2/19943/31/1997
InactivePhiladelphia American Life Insurance Company300178Agent - Life6/2/19943/31/1997
InactivePioneer Life Insurance Company300110Agent - Health9/7/19955/27/2003
InactivePioneer Life Insurance Company300110Agent - Life9/7/19955/27/2003
InactivePrincipal Life Insurance Company300129Agent - Health1/12/19946/30/2008
InactivePrincipal Life Insurance Company300129Agent - Life1/12/19946/30/2008
InactiveProtective Life Insurance Company300638Agent - Health4/1/20076/30/2008
InactiveProtective Life Insurance Company300638Agent - Life4/1/20076/30/2008
InactiveProvident Life and Accident Insurance Company301525Agent - Health10/29/199610/24/2003
InactiveProvident Life and Accident Insurance Company301525Agent - Life10/29/199610/24/2003
InactivePruco Life Insurance Company300954Agent - Health10/28/20087/1/2010
InactivePruco Life Insurance Company300954Agent - Life10/28/20087/1/2010
InactiveReassure America Life Insurance Company301902Agent - Health9/11/19981/2/2003
InactiveReassure America Life Insurance Company301902Agent - Life9/11/19981/2/2003
InactiveSettlers Life Insurance Company300189Agent - Health9/20/19939/25/2000
InactiveSettlers Life Insurance Company300189Agent - Life9/20/19933/3/2005
InactiveSunAmerica Annuity and Life Assurance Company301930Agent - Health3/23/20016/30/2008
InactiveSunAmerica Annuity and Life Assurance Company301930Agent - Life3/23/200112/7/2004
InactiveSunAmerica Annuity and Life Assurance Company301930Agent - Variable Life and Variable Annuities8/21/200112/7/2004
InactiveSunAmerica Life Insurance Company300096Agent - Life3/14/19943/31/1997
InactiveTime Insurance Company300683Agent - Health8/24/19946/30/2008
InactiveTime Insurance Company300683Agent - Life8/24/19946/30/2008
InactiveTransamerica Premier Life Insurance Company300558Agent - Health5/24/199510/16/1996
InactiveTransamerica Premier Life Insurance Company300558Agent - Life5/24/199510/16/1996
InactiveU.S. Financial Life Insurance Company301812Agent - Health2/17/19949/26/2007
InactiveU.S. Financial Life Insurance Company301812Agent - Life2/17/19949/26/2007
InactiveUNUM Life Insurance Company of America300817Agent - Health3/20/200110/24/2003
InactiveUNUM Life Insurance Company of America300817Agent - Life3/20/200110/24/2003
InactiveUnion Central Life Insurance Company300307Agent - Health1/13/20097/1/2010
InactiveUnion Central Life Insurance Company300307Agent - Life1/13/20097/1/2010
InactiveUnited World Life Insurance Company300532Agent - Health7/29/20046/30/2008
InactiveUnited of Omaha Life Insurance Company300156Agent - Health4/22/20036/30/2008
InactiveUnited of Omaha Life Insurance Company300156Agent - Life4/22/20036/30/2008
InactiveUnitedHealthcare Insurance Company300946Agent - Health5/5/19986/30/2008
InactiveUnitedHealthcare Insurance Company300946Agent - Life5/5/19986/30/2008
InactiveUnitedHealthcare Life Insurance Company301517Agent - Health9/22/19953/31/1997
InactiveUnitedHealthcare Life Insurance Company301517Agent - Life9/22/19953/31/1997
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health3/1/20016/30/2008
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health Maintenance Organization5/5/19983/1/2001
InactiveWashington National Insurance Company300587Agent - Health3/27/19923/31/1997
InactiveWashington National Insurance Company300587Agent - Life3/27/19923/31/1997
InactiveWestern National Life Insurance Company300461Agent - Life9/26/199511/22/1996
InactiveWoodmen Accident and Life Company300147Agent - Health5/28/19976/28/2000
InactiveWoodmen Accident and Life Company300147Agent - Life5/28/19976/28/2000
Inactive300277Agent - Health5/1/19961/1/2007
Inactive300277Agent - Life5/1/19961/1/2007
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAcordia of Lexington Inc.401285Agent - Life3/7/199512/10/2001
InactiveAcordia of Lexington Inc.401285Agent - Health3/7/199512/10/2001
InactiveArison Insurance Services, Inc.401001Agent - Life8/24/19996/23/2008
InactiveArison Insurance Services, Inc.401001Agent - Health8/24/19996/23/2008
InactiveDental Choice Agency Inc.398085Agent - Health4/13/20097/1/2010
DeniedDesignated Agent Company Inc.681257Agent - Life  
DeniedDesignated Agent Company Inc.681257Agent - Health  
InactiveHealthplan Services, Inc.401230Agent - Health8/31/19953/31/1997
InactiveJ R Young Company Inc.399149Agent - Life8/8/19942/7/2003
InactiveJ R Young Company Inc.399149Agent - Health8/8/19942/7/2003
InactiveMML Insurance Agency LLC398679Agent - Life2/21/20056/30/2008
InactiveMML Insurance Agency LLC398679Agent - Health2/21/20056/30/2008
InactiveMML Insurance Agency LLC398679Agent - Variable Life and Variable Annuities9/23/20026/30/2008
InactiveMedlink Inc400721Agent - Life2/19/20097/1/2010
InactiveMedlink Inc400721Agent - Health2/19/20097/1/2010

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