DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Jacobson, Gilbert R	DOIID	690911	NAIC NPN	7729787

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	10/8/2008	7/31/2014
Inactive	Non Resident	Agent	Property	10/8/2008	7/31/2014
* 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	ACE American Insurance Company	300625	Agent - Casualty	12/3/2008	11/14/2013
Inactive	ACE American Insurance Company	300625	Agent - Property	12/3/2008	11/14/2013
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Casualty	12/3/2008	11/14/2013
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Property	12/3/2008	11/14/2013
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	12/3/2008	11/14/2013
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Property	12/3/2008	11/14/2013
Inactive	Bankers Standard Insurance Company	301620	Agent - Casualty	12/3/2008	11/14/2013
Inactive	Bankers Standard Insurance Company	301620	Agent - Property	12/3/2008	11/14/2013
Inactive	Indemnity Insurance Company of North America	301760	Agent - Casualty	12/3/2008	11/14/2013
Inactive	Indemnity Insurance Company of North America	301760	Agent - Property	12/3/2008	11/14/2013
Inactive	Pacific Employers Insurance Company	301753	Agent - Casualty	12/3/2008	11/14/2013
Inactive	Pacific Employers Insurance Company	301753	Agent - Property	12/3/2008	11/14/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Wright Specialty Insurance Agency LLC	688436	Agent - Casualty	2/19/2010	11/14/2013
Inactive	Wright Specialty Insurance Agency LLC	688436	Agent - Property	2/19/2010	11/14/2013