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.
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
ActiveAnthem Insurance Companies, Inc.300941Agent - Health6/12/2021 
InactiveAnthem Life Insurance Company301209Agent - Health6/8/20114/15/2025
InactiveAnthem Life Insurance Company301209Agent - Life6/8/20114/15/2025
InactiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/25/20222/17/2025
InactiveCompBenefits Dental, Inc.591692Agent - Health2/8/20115/27/2015
ActiveCompcare Health Services Insurance Corporation948751Agent - Health9/16/2021 
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
InactiveUnitedHealthcare Insurance Company300946Agent - Health5/28/20122/17/2025
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
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health9/13/20152/17/2025
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
InactiveDesignated Agent Company Inc.681257Agent - Life6/8/20114/15/2025
ActiveDesignated Agent Company Inc.681257Agent - Health6/8/2011 
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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