DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Brown, Jacob David	DOIID	655679	NAIC NPN	7694246

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	5/17/2007	4/30/2012
Inactive	Non Resident	Agent	Property	5/17/2007	4/30/2012
Active	Non Resident	Staff Adjuster	Property & Casualty	8/1/2017		4/30/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Staff Adjuster	02/15/2026	04/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Progressive Direct Insurance Company	301379	Agent - Casualty	5/25/2007	3/9/2010
Inactive	Progressive Direct Insurance Company	301379	Agent - Property	5/25/2007	3/9/2010
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	5/25/2007	12/11/2009
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	5/25/2007	12/11/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Property	7/31/2007	3/9/2010
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Casualty	7/31/2007	3/9/2010