DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Jacobs, Wyatt Richard	DOIID	563468	NAIC NPN	7446199

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	1/24/2003		3/31/2025
Active	Non Resident	Agent	Property	1/24/2003		3/31/2025
* 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	21st Century North America Insurance Company	300884	Agent - Casualty	7/21/2010	2/7/2017
Inactive	21st Century North America Insurance Company	300884	Agent - Property	7/21/2010	2/7/2017
Active	Bristol West Insurance Company	301655	Agent - Casualty	2/6/2016
Active	Bristol West Insurance Company	301655	Agent - Property	2/6/2016
Active	Farmers Insurance Exchange	300336	Agent - Casualty	6/12/2020
Active	Farmers Insurance Exchange	300336	Agent - Property	6/12/2020
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	7/15/2022
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	7/15/2022
Active	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	7/15/2022
Active	Foremost Property and Casualty Insurance Company	300871	Agent - Property	7/15/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Foremost Express Insurance Agency Inc.	515334	Agent - Casualty	12/18/2017	12/31/2018
Inactive	Foremost Express Insurance Agency Inc.	515334	Agent - Property	12/18/2017	12/31/2018
Active	Fx Insurance Agency, LLC	646184	Agent - Casualty	12/5/2018
Active	Fx Insurance Agency, LLC	646184	Agent - Property	12/5/2018