PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameJacobs, Matthew AlanDOIID769255NAIC NPN7820262
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentLife11/18/20118/31/2013 
InactiveNon ResidentAgentHealth11/18/20118/31/2013 
* 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
InactiveCompBenefits Dental, Inc.591692Agent - Health2/10/20128/31/2013
InactiveDental Concern Inc. (The)301641Agent - Health2/10/20128/31/2013
InactiveGolden Rule Insurance Company301943Agent - Health2/21/20128/31/2013
InactiveGolden Rule Insurance Company301943Agent - Life2/21/20128/31/2013
InactiveHumana Health Plan, Inc.300142Agent - Health2/10/20128/31/2013
InactiveHumana Insurance Company301104Agent - Health2/10/20128/31/2013
InactiveHumana Insurance Company301104Agent - Life2/10/20128/31/2013
InactiveHumana Insurance Company of Kentucky300826Agent - Health2/10/20128/31/2013
InactiveHumana Insurance Company of Kentucky300826Agent - Life2/10/20128/31/2013
InactiveKanawha Insurance Company300127Agent - Health2/10/20128/31/2013
InactiveKanawha Insurance Company300127Agent - Life2/10/20128/31/2013
InactiveTime Insurance Company300683Agent - Health2/8/20129/15/2013
InactiveTime Insurance Company300683Agent - Life2/8/20129/15/2013
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveUsi Insurance Services LLC669260Agent - Life12/18/20125/3/2013
InactiveUsi Insurance Services LLC669260Agent - Health12/18/20125/3/2013

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