DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Chambers, Jacob Wayne	DOIID	367810	NAIC NPN	7199260

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Limited Line Credit	10/10/2005		5/31/2027
Inactive	Resident	Agent	Credit Life & Health	2/20/1999	8/7/2000
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	03/15/2025	05/31/2025	05/01/2025	05/01/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	CMFG Life Insurance Company	300929	Agent - Limited Line Credit	5/8/2012
Inactive	Citizens Security Life Insurance Company	301257	Agent - Limited Line Credit	9/10/2001	9/23/2002
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Credit Life & Health	2/20/1999	8/7/2000
Active	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	10/10/2005
Active	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	11/12/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	FNB Bank, Inc	399080	Agent - Limited Line Credit	10/10/2006