DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Jacob, Jeri L	DOIID	651945	NAIC NPN	7014658

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	3/22/2007	9/30/2025
Inactive	Non Resident	Agent	Life	3/22/2007	9/30/2025
* 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	HCC Life Insurance Company	301827	Agent - Health	4/9/2007	12/6/2010
Inactive	HCC Life Insurance Company	301827	Agent - Life	4/9/2007	12/6/2010
Inactive	Swiss Re Corporate Solutions America Insurance Corporation	300338	Agent - Health	5/11/2021	9/30/2025
Inactive	Westport Insurance Corporation	301875	Agent - Health	3/9/2016	4/20/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Allied Benefit Systems, LLC	665231	Agent - Life	10/3/2007	4/18/2024
Inactive	Allied Benefit Systems, LLC	665231	Agent - Health	10/3/2007	4/18/2024