DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

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		5/31/2028
Active	Non Resident	Agent	Casualty	10/8/2024		5/31/2028
Active	Non Resident	Agent	Health	7/24/2007		5/31/2028
Active	Non Resident	Agent	Property	10/8/2024		5/31/2028
* 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
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