DEPARTMENT OF INSURANCE

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		5/31/2025
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.

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