DEPARTMENT OF INSURANCE

Affiliations

Name	Jacobs, Bert H	DOIID	385282	NAIC NPN	142954

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	10/1/2014	12/31/2022
Inactive	Non Resident	Agent	Life	3/11/2013	12/31/2022
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	8/10/2020	12/31/2022
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/10/2020	12/31/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Health	8/10/2020	12/31/2022
Inactive	American General Life Insurance Company	301585	Agent - Health	2/18/2015	12/31/2022
Inactive	American General Life Insurance Company	301585	Agent - Life	8/6/2014	12/31/2022
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Health	6/26/2016	12/31/2022
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Life	6/26/2016	12/31/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/29/2011	12/31/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/29/2011	12/31/2012
Inactive	Augustar Life Assurance Corporation	301113	Agent - Health	9/13/2006	9/22/2006
Inactive	Augustar Life Assurance Corporation	301113	Agent - Life	9/13/2006	9/22/2006
Inactive	Augustar Life Insurance Company	301816	Agent - Health	8/21/2000	2/19/2003
Inactive	Augustar Life Insurance Company	301816	Agent - Life	8/21/2000	2/19/2003
Inactive	Banner Life Insurance Company	301696	Agent - Life	9/30/2008	12/31/2012
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	9/16/2013	12/31/2022
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	5/30/2017	4/20/2018
Inactive	Genworth Life Insurance Company	300623	Agent - Health	8/9/2012	12/31/2012
Inactive	Genworth Life Insurance Company	300623	Agent - Life	8/9/2012	12/31/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	1/16/2015	12/14/2016
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	9/16/2013	10/5/2021
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	5/26/2015	12/8/2015
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	5/26/2015	12/8/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	12/27/2016	4/20/2018
Inactive	Humana Insurance Company	301104	Agent - Health	10/20/2016	4/20/2018
Inactive	Humana Insurance Company	301104	Agent - Life	10/20/2016	4/20/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	5/30/2017	4/20/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	5/30/2017	4/20/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	5/26/2015	12/8/2015
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	10/1/2014	12/31/2022
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	10/1/2014	12/31/2022
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Health	8/7/2008	12/31/2012
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	8/7/2008	12/31/2012
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	9/28/2012	12/31/2012
Inactive	New York Life Insurance Company	300431	Agent - Health	6/15/2021	12/31/2022
Inactive	New York Life Insurance Company	300431	Agent - Life	6/15/2021	12/31/2022
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	10/22/2002	12/30/2009
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	10/22/2002	12/30/2009
Inactive	Pruco Life Insurance Company	300954	Agent - Health	4/27/2009	12/31/2012
Inactive	Pruco Life Insurance Company	300954	Agent - Life	3/18/2013	12/31/2022
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	4/24/2007	12/31/2012
Inactive	Security Life of Denver Insurance Company	300648	Agent - Life	4/24/2007	9/29/2012
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/10/2020	12/31/2022
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	10/1/2008	10/30/2012
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	10/1/2008	10/30/2012
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	5/28/1997	10/1/2008
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	5/28/1997	10/1/2008
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	10/22/2002	12/30/2009
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	10/22/2002	12/30/2009
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	2/28/2019	8/1/2020
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	2/28/2019	8/1/2020
Inactive	West Coast Life Insurance Company	301607	Agent - Health	12/1/2010	11/16/2011
Inactive	West Coast Life Insurance Company	301607	Agent - Life	12/1/2010	11/16/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	9/29/2011	12/31/2012
Inactive	Designated Agent Company Inc.	681257	Agent - Health	9/29/2011	12/31/2012