DEPARTMENT OF INSURANCE

Affiliations

Name	Jacob, Michael P	DOIID	380037	NAIC NPN	6622135

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	7/23/1998	3/2/1999
Inactive	Non Resident	Agent	Property	9/23/2015	3/31/2017
Inactive	Non Resident	Agent	Casualty	9/23/2015	3/31/2017
Inactive	Resident	Agent	General Lines	2/24/1994	8/15/2000
* 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
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	10/6/2015	3/31/2017
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	10/6/2015	3/31/2017
Inactive	Assurance Company of America	300432	Agent - Casualty	9/23/2002	10/28/2010
Inactive	Assurance Company of America	300432	Agent - General Lines	10/30/1995	3/31/1996
Inactive	Assurance Company of America	300432	Agent - Property	9/23/2002	10/28/2010
Inactive	Auto-Owners Life Insurance Company	301368	Agent - Life	7/23/1998	3/2/1999
Inactive	Colonial American Casualty & Surety Company	300769	Agent - Casualty	9/23/2002	10/28/2010
Inactive	Colonial American Casualty & Surety Company	300769	Agent - Property	9/23/2002	10/28/2010
Inactive	EMC National Life Company	300388	Agent - Life	8/19/1998	12/10/1998
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Casualty	9/23/2002	10/28/2010
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Property	9/23/2002	10/28/2010
Inactive	Glatfelter Insurance Company	301640	Agent - Casualty	9/23/2002	11/30/2007
Inactive	Glatfelter Insurance Company	301640	Agent - Property	9/23/2002	11/30/2007
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	3/7/2014	3/31/2015
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	3/7/2014	3/31/2015
Inactive	Grange Insurance Company	300234	Agent - Casualty	3/7/2014	3/31/2015
Inactive	Grange Insurance Company	300234	Agent - Property	3/7/2014	3/31/2015
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	3/7/2014	3/31/2015
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	3/7/2014	3/31/2015
Inactive	Great American Assurance Company	300327	Agent - Casualty	7/7/2005	5/2/2012
Inactive	Great American Assurance Company	300327	Agent - Property	7/7/2005	5/2/2012
Inactive	Great West Casualty Company	301015	Agent - Casualty	2/27/2014	12/12/2014
Inactive	Great West Casualty Company	301015	Agent - Property	2/27/2014	12/12/2014
Inactive	Kentucky National Insurance Company	301625	Agent - General Lines	4/8/1994	3/31/1996
Inactive	Lincoln General Insurance Company	301580	Agent - Casualty	11/16/2001	12/6/2007
Inactive	Lincoln General Insurance Company	301580	Agent - General Lines	6/4/1999	8/15/2000
Inactive	Lincoln General Insurance Company	301580	Agent - Property	11/16/2001	12/6/2007
Inactive	Maryland Casualty Company	301719	Agent - Casualty	9/23/2002	10/28/2010
Inactive	Maryland Casualty Company	301719	Agent - General Lines	10/30/1995	3/31/1996
Inactive	Maryland Casualty Company	301719	Agent - Property	9/23/2002	10/28/2010
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	9/23/2002	10/28/2010
Inactive	Northern Insurance Company of New York	301317	Agent - Property	9/23/2002	10/28/2010
Inactive	State Automobile Mutual Insurance Company	301824	Agent - General Lines	2/24/1994	12/10/1998
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	3/7/2014	3/31/2015
Inactive	Trustgard Insurance Company	300104	Agent - Property	3/7/2014	3/31/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Heritage Insurance Service, Inc.	399131	Agent - Casualty	2/27/2014	12/18/2014
Inactive	Morgan Trevathan and Gunn Inc.	398365	Agent - Property	8/19/2008	5/2/2012
Inactive	Morgan Trevathan and Gunn Inc.	398365	Agent - Casualty	8/19/2008	5/2/2012
Inactive	Thompson-Boerger Insurance Inc.	398809	Agent - General Lines	3/13/1996	3/2/1999