DEPARTMENT OF INSURANCE

Affiliations

Name	Jacobson, Nathan Jack	DOIID	764760	NAIC NPN	729981

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	9/27/2011	10/31/2014
Inactive	Non Resident	Agent	Life	9/27/2011	10/31/2014
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	10/26/2011	10/1/2013
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/26/2011	10/1/2013
Inactive	Aetna Life Insurance Company	301140	Agent - Life	10/26/2011	10/1/2013
Inactive	American Continental Insurance Company	643130	Agent - Health	9/24/2012	10/21/2013
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/1/2012	10/31/2014
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/1/2012	10/31/2014
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	9/25/2012	1/8/2013
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	8/2/2012	1/28/2013
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	8/2/2012	1/28/2013
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	3/28/2012	10/31/2014
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/25/2012	1/8/2013
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	9/21/2012	2/11/2013
Inactive	Golden Rule Insurance Company	301943	Agent - Health	12/31/2012	10/7/2013
Inactive	Golden Rule Insurance Company	301943	Agent - Life	12/31/2012	10/7/2013
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/10/2012	1/8/2013
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/25/2012	1/8/2013
Inactive	Humana Insurance Company	301104	Agent - Health	9/25/2012	1/8/2013
Inactive	Humana Insurance Company	301104	Agent - Life	9/25/2012	1/8/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/25/2012	1/8/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/25/2012	1/8/2013
Inactive	Medco Containment Life Insurance Company	301557	Agent - Health	9/12/2012	12/18/2013
Inactive	Pennsylvania Life Insurance Company	301321	Agent - Health	10/28/2011	1/21/2013
Inactive	SilverScript Insurance Company	663526	Agent - Health	10/28/2011	10/31/2014
Inactive	Sterling Life Insurance Company	301947	Agent - Health	9/29/2011	2/12/2013
Inactive	Sterling Life Insurance Company	301947	Agent - Life	9/29/2011	2/12/2013
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/12/2012	1/9/2013
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	8/12/2012	1/9/2013
Inactive	Washington National Insurance Company	300587	Agent - Health	10/3/2011	7/10/2012
Inactive	Washington National Insurance Company	300587	Agent - Life	10/3/2011	7/10/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	9/17/2012	10/31/2014
Inactive	Designated Agent Company Inc.	681257	Agent - Life	9/17/2012	10/31/2014