DEPARTMENT OF INSURANCE

Affiliations

Name	Jacobson, Michael David	DOIID	354006	NAIC NPN	431467

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Adjuster	Independent	1/19/1995	3/31/2002
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Cunningham Lindsey Claims Management Inc.	397986	Adjuster - Independent	3/11/2002	3/31/2002
Inactive	United Services Automobile Association	300158	Adjuster - Independent	1/19/1995	3/28/2002