DEPARTMENT OF INSURANCE

Affiliations

Name	Bartley, Jacob A	DOIID	717235	NAIC NPN	14697521

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	9/27/2022	7/31/2026
Active	Non Resident	Agent	Property	12/5/2019	7/31/2026
Active	Non Resident	Agent	Health	9/27/2022	7/31/2026
Active	Non Resident	Agent	Casualty	12/5/2019	7/31/2026
* 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	05/15/2024	07/31/2024	07/18/2024	07/18/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	12/7/2020	2/13/2023
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	12/7/2020	2/13/2023
Active	AIG Property Casualty Company	300621	Agent - Casualty	12/26/2019
Active	AIG Property Casualty Company	300621	Agent - Property	12/26/2019
Active	Allstate Indemnity Company	300778	Agent - Casualty	10/31/2022
Active	Allstate Indemnity Company	300778	Agent - Property	10/31/2022
Active	Allstate Insurance Company	300773	Agent - Casualty	10/31/2022
Active	Allstate Insurance Company	300773	Agent - Property	10/31/2022
Active	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	10/31/2022
Active	Allstate Property and Casualty Insurance Company	300593	Agent - Property	10/31/2022
Active	Allstate Vehicle & Property Insurance Company	301429	Agent - Casualty	10/31/2022
Active	Allstate Vehicle & Property Insurance Company	301429	Agent - Property	10/31/2022
Active	American Economy Insurance Company	300315	Agent - Casualty	4/8/2022
Active	American Economy Insurance Company	300315	Agent - Property	4/8/2022
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	7/23/2023
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	7/23/2023
Inactive	Banner Life Insurance Company	301696	Agent - Life	3/13/2010	3/6/2012
Inactive	BrickStreet Mutual Insurance Company	709251	Agent - Casualty	11/27/2021	11/27/2021
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	1/27/2010	7/20/2012
Inactive	CompBenefits Insurance Company	301864	Agent - Health	1/27/2010	7/20/2012
Inactive	CompBenefits Insurance Company	301864	Agent - Life	1/27/2010	7/20/2012
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	1/27/2010	7/20/2012
Active	Encompass Indemnity Company	546376	Agent - Casualty	11/7/2022
Active	Encompass Indemnity Company	546376	Agent - Property	11/7/2022
Active	Encompass Insurance Company	300188	Agent - Casualty	4/9/2024
Active	Encompass Insurance Company	300188	Agent - Property	4/9/2024
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	1/3/2020	8/11/2021
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	1/3/2020	8/11/2021
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	8/1/2023
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	8/1/2023
Active	Hartford Accident and Indemnity Company	301917	Agent - Casualty	6/13/2024
Active	Hartford Accident and Indemnity Company	301917	Agent - Property	6/13/2024
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	1/27/2010	7/20/2012
Inactive	Humana Insurance Company	301104	Agent - Health	1/27/2010	7/20/2012
Inactive	Humana Insurance Company	301104	Agent - Life	1/27/2010	7/20/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/27/2010	7/20/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/27/2010	7/20/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Health	1/27/2010	2/23/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	1/27/2010	2/23/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	1/27/2010	7/20/2012
Inactive	Kanawha Insurance Company	300127	Agent - Life	1/27/2010	7/20/2012
Active	Milbank Insurance Company	925185	Agent - Casualty	10/5/2022
Active	Milbank Insurance Company	925185	Agent - Property	10/5/2022
Inactive	NorthStone Insurance Company	818905	Agent - Casualty	11/27/2021	11/27/2021
Inactive	PinnaclePoint Insurance Company	819085	Agent - Casualty	11/27/2021	11/27/2021
Active	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	6/15/2022
Active	SAFECO Insurance Company of Illinois	301350	Agent - Property	6/15/2022
Inactive	SummitPoint Insurance Company	819084	Agent - Casualty	11/27/2021	11/27/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Eversurance, LLC	674377	Agent - Life	11/3/2010	7/20/2012
Inactive	Eversurance, LLC	674377	Agent - Health	11/3/2010	7/20/2012
Active	Liberty Federal Credit Union Service Organization LLC	588058	Agent - Life	9/28/2022
Active	Liberty Federal Credit Union Service Organization LLC	588058	Agent - Health	9/28/2022
Active	Liberty Federal Credit Union Service Organization LLC	588058	Agent - Casualty	8/24/2021
Active	Liberty Federal Credit Union Service Organization LLC	588058	Agent - Property	8/24/2021