DEPARTMENT OF INSURANCE
Affiliations
NameJacobs, Charles LewisDOIID726643NAIC NPN15739305
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentLife8/8/2011 7/31/2027
ActiveResidentAgentHealth8/8/2011 7/31/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent05/15/202507/31/202506/20/202506/20/2025Yes
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAccendo Insurance Company300312Agent - Life6/10/2020 
ActiveAetna Health Inc. (PA)660717Agent - Health10/10/2017 
ActiveAetna Health of Ohio Inc.1065035Agent - Health7/21/2020 
ActiveAetna Life Insurance Company301140Agent - Health10/10/2017 
ActiveAetna Life Insurance Company301140Agent - Life10/10/2017 
InactiveAmerican Continental Insurance Company643130Agent - Health4/5/20136/6/2016
InactiveAmerican Continental Insurance Company643130Agent - Life4/5/201312/15/2020
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health2/23/201311/20/2013
ActiveAmerican National Insurance Company301861Agent - Life6/23/2021 
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health11/9/2020 
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health9/23/202112/19/2024
ActiveAnthem Insurance Companies, Inc.300941Agent - Health6/12/2021 
InactiveAnthem Life Insurance Company301209Agent - Health11/17/20179/18/2020
InactiveAnthem Life Insurance Company301209Agent - Life11/17/20179/18/2020
ActiveArcadian Health Plan, Inc.728196Agent - Health10/12/2017 
ActiveBankers Fidelity Assurance Company554627Agent - Health5/25/2016 
ActiveBankers Fidelity Assurance Company554627Agent - Life5/25/2016 
ActiveBankers Fidelity Life Insurance Company300193Agent - Health12/28/2014 
ActiveBankers Fidelity Life Insurance Company300193Agent - Life12/28/2014 
InactiveBankers Life and Casualty Company300701Agent - Health8/8/201110/9/2012
InactiveBankers Life and Casualty Company300701Agent - Life8/8/201110/9/2012
InactiveBanner Life Insurance Company301696Agent - Life6/17/201310/22/2020
InactiveBaptist Health Plan, Inc.300157Agent - Health9/25/20153/31/2019
InactiveCIGNA Health & Life Insurance Company301783Agent - Health10/30/201712/27/2022
InactiveCIGNA Health & Life Insurance Company301783Agent - Life10/30/201712/27/2022
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/20/2022 
InactiveColonial Penn Life Insurance Company300491Agent - Health4/26/20108/1/2011
InactiveColonial Penn Life Insurance Company300491Agent - Life4/26/20108/1/2011
InactiveCompBenefits Dental, Inc.591692Agent - Health11/15/20126/15/2018
InactiveCompBenefits Insurance Company301864Agent - Health12/12/202212/12/2024
ActiveCompcare Health Services Insurance Corporation948751Agent - Health9/16/2021 
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health4/5/201312/15/2020
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life3/4/2021 
InactiveCoventry Health and Life Insurance Company301771Agent - Health4/30/20108/1/2011
InactiveDental Concern Inc. (The)301641Agent - Health8/16/201612/13/2022
ActiveDevoted Health Insurance Company of Kentucky, Inc.1306593Agent - Health8/19/2024 
ActiveEssence Healthcare, Inc.657425Agent - Health11/5/2023 
ActiveFirst Health Life & Health Insurance Company301735Agent - Health10/10/2017 
InactiveForethought Life Insurance Company301407Agent - Life1/17/20131/30/2014
InactiveGateway Health Plan of Ohio, Inc.833424Agent - Health11/4/201412/28/2016
InactiveGenworth Life Insurance Company300623Agent - Health6/3/201410/17/2016
InactiveGenworth Life Insurance Company300623Agent - Life6/3/201410/17/2016
InactiveGuarantee Trust Life Insurance Company301043Agent - Health2/2/20171/2/2019
InactiveGuarantee Trust Life Insurance Company301043Agent - Life2/2/20171/2/2019
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health10/13/201412/13/2022
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health8/6/201912/13/2022
InactiveHumana Health Plan, Inc.300142Agent - Health9/4/201812/10/2018
ActiveHumana Insurance Company301104Agent - Health11/15/2012 
ActiveHumana Insurance Company301104Agent - Life11/15/2012 
InactiveHumana Insurance Company of Kentucky300826Agent - Health11/15/201212/13/2022
InactiveHumana Insurance Company of Kentucky300826Agent - Life11/15/201212/13/2022
ActiveHumana Medical Plan, Inc.801568Agent - Health10/13/2014 
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health10/12/201612/13/2022
InactiveIndependent Order of Foresters300743Agent - Life10/22/201212/15/2018
InactiveKanawha Insurance Company300127Agent - Health11/15/201210/22/2015
InactiveKanawha Insurance Company300127Agent - Life11/15/201210/22/2015
ActiveLifeShield National Insurance Company737111Agent - Health5/30/2024 
ActiveLifeShield National Insurance Company737111Agent - Life5/30/2024 
InactiveLincoln Heritage Life Insurance Company500016Agent - Health3/19/20188/11/2018
InactiveLincoln Heritage Life Insurance Company500016Agent - Life3/19/20188/11/2018
ActiveMedico Corp Life Insurance Company301777Agent - Health2/11/2025 
ActiveMedico Corp Life Insurance Company301777Agent - Life2/11/2025 
ActiveMedico Insurance Company301559Agent - Health7/29/2024 
ActiveMedico Insurance Company301559Agent - Life7/29/2024 
InactiveMedico Life and Health Insurance Company907406Agent - Health11/6/202012/21/2022
InactiveMedico Life and Health Insurance Company907406Agent - Life11/6/202012/21/2022
InactiveNationwide Life and Annuity Insurance Company300714Agent - Health7/14/201712/17/2020
InactiveNationwide Life and Annuity Insurance Company300714Agent - Life7/14/201712/17/2020
InactiveOmaha Health Insurance Company301296Agent - Health2/18/202012/27/2024
InactiveOmaha Insurance Company751908Agent - Health12/7/20178/8/2018
InactiveProtective Life Insurance Company300638Agent - Health12/21/202011/23/2023
InactiveProtective Life Insurance Company300638Agent - Life12/21/202011/23/2023
InactiveSBLI USA Life Insurance Company, Inc.980989Agent - Health12/14/202211/10/2023
ActiveSilverScript Insurance Company663526Agent - Health8/23/2019 
InactiveTime Insurance Company300683Agent - Health2/4/201312/20/2014
InactiveTime Insurance Company300683Agent - Life2/4/201312/20/2014
InactiveUnited Home Life Insurance Company300421Agent - Life4/15/201312/1/2014
InactiveUnited National Life Insurance Company844837Agent - Health5/20/20161/4/2017
InactiveUnited National Life Insurance Company844837Agent - Life5/20/20161/4/2017
InactiveUnited World Life Insurance Company300532Agent - Health8/7/20183/22/2022
InactiveUnited of Omaha Life Insurance Company300156Agent - Health11/24/202110/24/2022
InactiveUnited of Omaha Life Insurance Company300156Agent - Life11/24/202110/24/2022
ActiveUnitedHealthcare Insurance Company300946Agent - Health7/31/2013 
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health8/14/201812/21/2018
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health8/5/201912/22/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health8/14/201812/23/2021
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health7/31/20134/30/2018
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health8/14/2018 
ActiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health12/17/2019 
ActiveWellCare Prescription Insurance Inc.654329Agent - Health12/10/2018 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDesignated Agent Company Inc.681257Agent - Life10/25/20122/10/2025
InactiveDesignated Agent Company Inc.681257Agent - Health11/17/20172/10/2025

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