DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Stern, Jacob Robert	DOIID	726666	NAIC NPN	2561129

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	4/16/2010	6/6/2023
Inactive	Non Resident	Agent	Health	4/16/2010	6/6/2023
Denied	Non Resident	Managing General Agent	Not Applicable
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	3/14/2011	12/20/2013
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	5/27/2020	4/10/2023
Inactive	American Equity Investment Life Insurance Company	300389	Agent - Life	10/17/2012	6/17/2014
Inactive	Life Insurance Company of the Southwest	301867	Agent - Life	4/21/2020	5/5/2023
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Life	9/9/2013	5/10/2023
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	11/24/2011	4/19/2023
Inactive	Pacific Life Insurance Company	301848	Agent - Health	11/1/2017	4/10/2023
Inactive	Pacific Life Insurance Company	301848	Agent - Life	11/1/2017	4/10/2023
Inactive	Protective Life Insurance Company	300638	Agent - Health	7/27/2011	4/24/2023
Inactive	Protective Life Insurance Company	300638	Agent - Life	7/27/2011	4/24/2023
Inactive	Standard Insurance Company	300185	Agent - Health	3/2/2011	12/5/2022
Inactive	Standard Insurance Company	300185	Agent - Life	3/2/2011	12/5/2022
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	7/12/2022	4/24/2023
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	7/12/2022	4/24/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Simplicity Life, Inc	678135	Agent - Life	3/14/2011	5/17/2023
Inactive	Simplicity Life, Inc	678135	Agent - Health	3/14/2011	5/17/2023