DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Jacobson, Christopher	DOIID	769087	NAIC NPN	2360275

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	11/17/2011	7/31/2017
Inactive	Non Resident	Agent	Casualty	11/17/2011	7/31/2017
* 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	Lumbermen's Underwriting Alliance	300917	Agent - Casualty	11/23/2011	12/22/2016
Inactive	Lumbermen's Underwriting Alliance	300917	Agent - Property	11/23/2011	12/22/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	LIG Insurance Agency, Inc.	546391	Agent - Casualty	3/26/2015	10/23/2015
Inactive	LIG Insurance Agency, Inc.	546391	Agent - Property	3/26/2015	10/23/2015