DEPARTMENT OF INSURANCE
Affiliations
NameStack, Jacob MatthewDOIID593999NAIC NPN8202529
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentProperty7/24/2007 3/31/2025
ActiveResidentAgentLife8/31/2004 3/31/2025
ActiveResidentAgentCasualty7/24/2007 3/31/2025
ActiveResidentAgentHealth8/31/2004 3/31/2025
ActiveResidentSurplus Lines BrokerNot Applicable10/4/2019 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveACUITY, A Mutual Insurance Company300095Agent - Casualty11/3/2014 
ActiveACUITY, A Mutual Insurance Company300095Agent - Property11/3/2014 
ActiveAmerican Economy Insurance Company300315Agent - Casualty11/9/2019 
ActiveAmerican Economy Insurance Company300315Agent - Property11/9/2019 
InactiveAmerican General Life Insurance Company301585Agent - Health7/20/200811/10/2010
InactiveAmerican General Life Insurance Company301585Agent - Life7/20/200811/10/2010
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health9/1/20042/11/2007
InactiveAnthem Insurance Companies, Inc.300941Agent - Health9/1/20042/11/2007
ActiveAnthem Life Insurance Company301209Agent - Health8/31/2004 
ActiveAnthem Life Insurance Company301209Agent - Life8/31/2004 
InactiveArch Insurance Company300688Agent - Casualty11/15/20073/22/2010
InactiveArch Insurance Company300688Agent - Health11/15/20073/22/2010
InactiveArch Insurance Company300688Agent - Property11/15/20073/22/2010
InactiveAthene Annuity and Life Company301893Agent - Life12/9/20105/31/2013
InactiveBridgefield Casualty Insurance Company500013Agent - Casualty6/24/200812/8/2011
ActiveBrighthouse Life Insurance Company301829Agent - Life11/14/2014 
InactiveCincinnati Life Insurance Company (The)300601Agent - Health7/24/20154/8/2024
InactiveCincinnati Life Insurance Company (The)300601Agent - Life7/24/20154/8/2024
ActiveClearPath Insurance Company979815Agent - Casualty3/7/2024 
InactiveCompBenefits Dental, Inc.591692Agent - Health3/11/201112/5/2014
InactiveCompBenefits Insurance Company301864Agent - Health3/11/201112/12/2011
InactiveCompBenefits Insurance Company301864Agent - Life3/11/201112/12/2011
InactiveConsolidated Insurance Company300943Agent - Casualty11/4/201010/20/2011
InactiveConsolidated Insurance Company300943Agent - Property11/4/201010/20/2011
InactiveDental Concern Inc. (The)301641Agent - Health3/21/20098/11/2016
InactiveEncompass Indemnity Company546376Agent - Casualty1/28/20132/21/2024
InactiveEncompass Indemnity Company546376Agent - Property1/28/20132/21/2024
InactiveEncompass Insurance Company of America556578Agent - Casualty1/28/201312/13/2018
InactiveEncompass Insurance Company of America556578Agent - Property1/28/201312/13/2018
InactiveFFVA Mutual Insurance Company552456Agent - Casualty4/13/20099/7/2010
ActiveFarmers Property and Casualty Insurance Company301237Agent - Casualty1/24/2011 
ActiveFarmers Property and Casualty Insurance Company301237Agent - Property1/24/2011 
InactiveFidelity Life Association, A Legal Reserve Life Insurance Company300774Agent - Life4/5/20077/27/2016
InactiveFirst National Insurance Company of America301690Agent - Casualty11/4/201010/20/2011
InactiveFirst National Insurance Company of America301690Agent - Property11/4/201010/20/2011
InactiveGeneral Insurance Company of America300261Agent - Casualty11/4/201010/20/2011
InactiveGeneral Insurance Company of America300261Agent - Property11/4/201010/20/2011
InactiveGenworth Life Insurance Company300623Agent - Health4/4/200912/7/2012
InactiveGenworth Life Insurance Company300623Agent - Life4/4/200912/7/2012
ActiveHartford Accident and Indemnity Company301917Agent - Casualty3/8/2011 
ActiveHartford Accident and Indemnity Company301917Agent - Property3/8/2011 
ActiveHartford Casualty Insurance Company301332Agent - Casualty8/17/2009 
ActiveHartford Casualty Insurance Company301332Agent - Property8/17/2009 
ActiveHartford Fire Insurance Company300628Agent - Casualty5/6/2009 
ActiveHartford Fire Insurance Company300628Agent - Property5/6/2009 
ActiveHartford Insurance Company of the Midwest301918Agent - Casualty8/27/2020 
ActiveHartford Insurance Company of the Midwest301918Agent - Property8/27/2020 
ActiveHartford Underwriters Insurance Company301064Agent - Casualty2/23/2020 
ActiveHartford Underwriters Insurance Company301064Agent - Property2/23/2020 
InactiveHumana Health Plan, Inc.300142Agent - Health11/16/20068/11/2016
InactiveHumana Insurance Company301104Agent - Health11/16/20068/11/2016
InactiveHumana Insurance Company301104Agent - Life11/16/20068/11/2016
InactiveHumana Insurance Company of Kentucky300826Agent - Health11/16/200612/5/2014
InactiveHumana Insurance Company of Kentucky300826Agent - Life11/16/200612/5/2014
InactiveHumanaDental Insurance Company301457Agent - Health6/4/20075/13/2013
InactiveHumanaDental Insurance Company301457Agent - Life6/4/20075/13/2013
InactiveIllinois Mutual Life Insurance Company301479Agent - Health3/26/200711/10/2009
InactiveIllinois Mutual Life Insurance Company301479Agent - Life3/26/200711/10/2009
InactiveIndiana Insurance Company301909Agent - Casualty11/4/20102/3/2023
InactiveIndiana Insurance Company301909Agent - Property11/4/20102/3/2023
InactiveKanawha Insurance Company300127Agent - Health5/8/201312/5/2014
InactiveKanawha Insurance Company300127Agent - Life5/8/201312/5/2014
InactiveKentucky Health Cooperative, Inc.798780Agent - Health11/5/201310/29/2015
InactiveLincoln National Life Insurance Company (The)301382Agent - Health7/22/201112/15/2016
InactiveLincoln National Life Insurance Company (The)301382Agent - Life7/22/201112/15/2016
InactiveMetLife Investors USA Insurance Company300845Agent - Life6/1/201211/14/2014
InactiveMetropolitan Life Insurance Company301948Agent - Health5/6/200812/18/2012
InactiveMetropolitan Life Insurance Company301948Agent - Life5/6/200812/18/2012
ActiveMilbank Insurance Company925185Agent - Casualty3/19/2020 
ActiveMilbank Insurance Company925185Agent - Property3/19/2020 
InactiveNetherlands Insurance Company (The)300339Agent - Casualty11/4/201010/20/2011
InactiveNetherlands Insurance Company (The)300339Agent - Property11/4/201010/20/2011
InactiveNorth American Company for Life and Health Insurance300291Agent - Life7/23/20144/23/2019
ActiveNutmeg Insurance Company751698Agent - Casualty2/9/2021 
ActiveNutmeg Insurance Company751698Agent - Property2/9/2021 
InactivePeerless Indemnity Insurance Company571682Agent - Casualty11/4/201010/20/2011
InactivePeerless Indemnity Insurance Company571682Agent - Property11/4/201010/20/2011
InactivePeerless Insurance Company301910Agent - Casualty11/4/201010/20/2011
InactivePeerless Insurance Company301910Agent - Property11/4/201010/20/2011
InactivePruco Life Insurance Company300954Agent - Health1/3/200812/22/2016
ActivePruco Life Insurance Company300954Agent - Life2/21/2018 
ActiveSAFECO Insurance Company of America300159Agent - Casualty11/4/2010 
ActiveSAFECO Insurance Company of America300159Agent - Property11/4/2010 
ActiveSAFECO Insurance Company of Illinois301350Agent - Casualty11/4/2010 
ActiveSAFECO Insurance Company of Illinois301350Agent - Property11/4/2010 
InactiveSeneca Insurance Company Inc.301762Agent - Casualty8/10/20122/24/2022
InactiveSeneca Insurance Company Inc.301762Agent - Property8/10/20122/24/2022
ActiveSentinel Insurance Company, Limited501696Agent - Casualty5/6/2009 
ActiveSentinel Insurance Company, Limited501696Agent - Property5/6/2009 
ActiveState Automobile Mutual Insurance Company301824Agent - Casualty11/29/2019 
ActiveState Automobile Mutual Insurance Company301824Agent - Property11/29/2019 
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - Casualty1/13/202211/16/2023
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - Property1/13/202211/16/2023
ActiveTrumbull Insurance Company300242Agent - Casualty2/12/2016 
ActiveTrumbull Insurance Company300242Agent - Property2/12/2016 
ActiveTwin City Fire Insurance Company300721Agent - Casualty9/2/2014 
ActiveTwin City Fire Insurance Company300721Agent - Property9/2/2014 
InactiveUnitedHealthcare Insurance Company300946Agent - Health11/14/200612/15/2009
InactiveUnitedHealthcare Insurance Company300946Agent - Life11/14/200612/15/2009
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health11/14/200612/15/2009
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health11/14/200612/15/2009
InactiveWellpoint Life and Health Insurance Company300469Agent - Health9/1/200611/24/2009
InactiveWellpoint Life and Health Insurance Company300469Agent - Life9/1/200611/24/2009
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAnchor Insurance Agency Inc.398530Agent - Health10/19/20068/20/2013
InactiveAnchor Insurance Agency Inc.398530Agent - Life10/19/20068/20/2013
DeniedAnchor Insurance Agency Inc.398530Agent - Casualty  
DeniedAnchor Insurance Agency Inc.398530Agent - Property  
InactiveDental Choice Agency Inc.398085Agent - Health4/13/20091/14/2014
ActiveDesignated Agent Company Inc.681257Agent - Health12/12/2013 
ActiveDesignated Agent Company Inc.681257Agent - Life12/12/2013 
ActiveHyland Block & Hyland Inc.398511Agent - Health12/22/2023 
ActiveHyland Block & Hyland Inc.398511Agent - Life12/22/2023 
ActiveHyland Block & Hyland Inc.398511Agent - Casualty12/22/2023 
ActiveHyland Block & Hyland Inc.398511Agent - Property12/22/2023 
InactiveMedlink Inc400721Agent - Health11/13/20063/31/2024
InactiveMedlink Inc400721Agent - Life11/13/20063/31/2024
InactiveStack Insurance Agency737256Agent - Health9/16/20103/31/2024
InactiveStack Insurance Agency737256Agent - Life9/16/20103/31/2024
InactiveStack Insurance Agency737256Agent - Casualty9/16/20103/31/2024
InactiveStack Insurance Agency737256Agent - Property9/16/20103/31/2024
InactiveStack Insurance Agency737256Surplus Lines Broker - Not Applicable10/9/20193/31/2024

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