DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Brown, Jacob Benjamin	DOIID	660337	NAIC NPN	6735170

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	7/24/2007		5/31/2026
Active	Non Resident	Agent	Health	7/24/2007		5/31/2026
* 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
Agent	03/15/2024	05/31/2024	03/05/2024	03/05/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACE American Insurance Company	300625	Agent - Health	8/24/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Willis Of Arizona Inc	511502	Agent - Life	9/16/2011	5/13/2013
Inactive	Willis Of Arizona Inc	511502	Agent - Health	9/16/2011	5/13/2013
Denied	Willis of North Carolina, Inc.	558918	Agent - Life
Inactive	Willis of North Carolina, Inc.	558918	Agent - Health	8/26/2011	9/28/2011