PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameJacobson, Timothy CharlesDOIID716599NAIC NPN6965017
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentLife8/9/20102/28/2014 
InactiveNon ResidentAgentHealth8/9/20102/28/2014 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAnthem Life Insurance Company301209Agent - Health9/26/20102/28/2014
InactiveAnthem Life Insurance Company301209Agent - Life9/26/20102/28/2014
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveCorporate Call Center, Inc695480Agent - Health10/7/20102/28/2014
InactiveCorporate Call Center, Inc695480Agent - Life10/7/20102/28/2014
InactiveDesignated Agent Company Inc.681257Agent - Health9/26/20102/28/2014
InactiveDesignated Agent Company Inc.681257Agent - Life9/26/20102/28/2014

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