PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameEllis, Jacob AustinDOIID744257NAIC NPN15908779
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth12/11/2010 8/31/2026
ActiveNon ResidentAgentLife12/11/2010 8/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent06/15/202608/31/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAetna Health Inc. (PA)660717Agent - Health11/10/20117/15/2024
InactiveAetna Health of Ohio Inc.1065035Agent - Health7/24/20207/15/2024
InactiveAetna Life Insurance Company301140Agent - Health11/10/20117/15/2024
InactiveAetna Life Insurance Company301140Agent - Life11/10/20117/15/2024
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health9/30/202112/19/2024
InactiveAnthem Insurance Companies, Inc.300941Agent - Health6/12/202111/13/2025
InactiveAnthem Life Insurance Company301209Agent - Health6/8/20114/15/2025
InactiveAnthem Life Insurance Company301209Agent - Life6/8/20114/15/2025
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health2/9/2026 
InactiveCompBenefits Dental, Inc.591692Agent - Health2/8/20115/27/2015
InactiveCompcare Health Services Insurance Corporation948751Agent - Health9/16/202111/13/2025
InactiveCoventry Health and Life Insurance Company301771Agent - Health7/19/20117/15/2024
InactiveDental Concern Inc. (The)301641Agent - Health2/8/20115/27/2015
InactiveFirst Health Life & Health Insurance Company301735Agent - Health7/19/20117/15/2024
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health10/13/20145/27/2015
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health10/10/20125/27/2015
InactiveHumana Health Plan, Inc.300142Agent - Health2/8/20115/27/2015
InactiveHumana Insurance Company301104Agent - Health2/8/20115/27/2015
InactiveHumana Insurance Company301104Agent - Life2/8/20115/27/2015
InactiveHumana Insurance Company of Kentucky300826Agent - Health2/8/20115/27/2015
InactiveHumana Insurance Company of Kentucky300826Agent - Life2/8/20115/27/2015
InactiveHumana Medical Plan, Inc.801568Agent - Health10/13/20145/27/2015
InactiveHumanaDental Insurance Company301457Agent - Health11/1/20125/13/2013
InactiveHumanaDental Insurance Company301457Agent - Life11/1/20125/13/2013
InactiveKanawha Insurance Company300127Agent - Health2/8/20115/27/2015
InactiveKanawha Insurance Company300127Agent - Life2/8/20115/27/2015
InactivePacifiCare Life and Health Insurance Company301304Agent - Health6/22/201111/4/2011
InactiveSilverScript Insurance Company663526Agent - Health8/23/20197/15/2024
ActiveUnitedHealthcare Insurance Company300946Agent - Health2/9/2026 
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health9/15/201612/20/2018
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health8/5/201912/22/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health7/15/201812/23/2021
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health5/28/201212/5/2016
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health2/9/2026 
InactiveWellCare Prescription Insurance Inc.654329Agent - Health3/7/201912/30/2021
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAdvantage Disability Advisors, LLC1444955Agent - Life1/28/2026 
ActiveAdvantage Disability Advisors, LLC1444955Agent - Health1/28/2026 
InactiveDesignated Agent Company Inc.681257Agent - Life6/8/20114/15/2025
InactiveDesignated Agent Company Inc.681257Agent - Health6/8/201111/13/2025
InactiveMedicare Plan Partners LLC827145Agent - Life11/8/20133/31/2019
InactiveMedicare Plan Partners LLC827145Agent - Health11/8/20133/31/2019
InactiveMyler Ins Services866259Agent - Health1/21/20153/31/2025

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