DEPARTMENT OF INSURANCE

Affiliations

Name	Jacob, Zachary Robert	DOIID	784667	NAIC NPN	16691388

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Property	7/5/2012	3/31/2026
Active	Resident	Agent	Casualty	7/5/2012	3/31/2026
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	AMCO Insurance Company	300204	Agent - Casualty	5/10/2022
Active	AMCO Insurance Company	300204	Agent - Property	5/10/2022
Active	Allied Insurance Company of America	793586	Agent - Casualty	5/10/2022
Active	Allied Insurance Company of America	793586	Agent - Property	5/10/2022
Active	Allied Property and Casualty Insurance Company	300279	Agent - Casualty	5/10/2022
Active	Allied Property and Casualty Insurance Company	300279	Agent - Property	5/10/2022
Active	American Economy Insurance Company	300315	Agent - Casualty	6/13/2022
Active	American Economy Insurance Company	300315	Agent - Property	6/13/2022
Active	American Fire and Casualty Company	300567	Agent - Casualty	5/16/2013
Active	American Fire and Casualty Company	300567	Agent - Property	5/16/2013
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	10/5/2018
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	10/5/2018
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	4/29/2016	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	4/29/2016	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	4/1/2016	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	4/1/2016	11/14/2021
Active	Bristol West Insurance Company	301655	Agent - Casualty	1/15/2015
Active	Bristol West Insurance Company	301655	Agent - Property	1/15/2015
Active	ClearPath Insurance Company	979815	Agent - Casualty	3/1/2024
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	5/16/2013	4/26/2024
Inactive	Consolidated Insurance Company	300943	Agent - Property	5/16/2013	4/26/2024
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	1/15/2013	8/24/2022
Inactive	Dairyland Insurance Company	301370	Agent - Property	1/15/2013	8/24/2022
Active	Depositors Insurance Company	301634	Agent - Casualty	5/10/2022
Active	Depositors Insurance Company	301634	Agent - Property	5/10/2022
Inactive	EMCASCO Insurance Company	842790	Agent - Casualty	2/12/2015	10/30/2020
Inactive	EMCASCO Insurance Company	842790	Agent - Property	2/12/2015	10/30/2020
Inactive	Employers Mutual Casualty Company	300202	Agent - Casualty	9/28/2012	10/30/2020
Inactive	Employers Mutual Casualty Company	300202	Agent - Property	9/28/2012	10/30/2020
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	11/23/2020	10/3/2024
Inactive	Encompass Indemnity Company	546376	Agent - Property	11/23/2020	10/3/2024
Active	Encompass Insurance Company	300188	Agent - Casualty	2/14/2025
Active	Encompass Insurance Company	300188	Agent - Property	2/14/2025
Active	Erie Insurance Company	300230	Agent - Casualty	9/22/2017
Active	Erie Insurance Company	300230	Agent - Property	9/22/2017
Active	Erie Insurance Company of New York	789916	Agent - Casualty	1/15/2018
Active	Erie Insurance Company of New York	789916	Agent - Property	1/15/2018
Active	Erie Insurance Exchange	300789	Agent - Casualty	9/22/2017
Active	Erie Insurance Exchange	300789	Agent - Property	9/22/2017
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	8/15/2017
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Property	8/15/2017
Active	Flagship City Insurance Company	789965	Agent - Casualty	4/5/2018
Active	Flagship City Insurance Company	789965	Agent - Property	4/5/2018
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	1/15/2015
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	1/15/2015
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Casualty	9/28/2012	12/20/2017
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Property	9/28/2012	12/20/2017
Inactive	Indiana Insurance Company	301909	Agent - Casualty	5/16/2013	2/3/2023
Inactive	Indiana Insurance Company	301909	Agent - Property	5/16/2013	2/3/2023
Active	Milbank Insurance Company	925185	Agent - Casualty	2/4/2019
Active	Milbank Insurance Company	925185	Agent - Property	2/4/2019
Active	Nationwide Agribusiness Insurance Company	301008	Agent - Casualty	5/10/2022
Active	Nationwide Agribusiness Insurance Company	301008	Agent - Property	5/10/2022
Active	Nationwide Assurance Company	300166	Agent - Casualty	5/10/2022
Active	Nationwide Assurance Company	300166	Agent - Property	5/10/2022
Active	Nationwide General Insurance Company	300603	Agent - Casualty	5/10/2022
Active	Nationwide General Insurance Company	300603	Agent - Property	5/10/2022
Active	Nationwide Insurance Company of America	300333	Agent - Casualty	5/10/2022
Active	Nationwide Insurance Company of America	300333	Agent - Property	5/10/2022
Active	Nationwide Mutual Insurance Company	301749	Agent - Casualty	5/10/2022
Active	Nationwide Mutual Insurance Company	301749	Agent - Property	5/10/2022
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	5/16/2013	4/26/2024
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	5/16/2013	4/26/2024
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	5/16/2013
Active	Ohio Casualty Insurance Company	301492	Agent - Property	5/16/2013
Active	Ohio Security Insurance Company	300622	Agent - Casualty	5/16/2013
Active	Ohio Security Insurance Company	300622	Agent - Property	5/16/2013
Active	Peerless Indemnity Insurance Company	571682	Agent - Casualty	5/16/2013
Active	Peerless Indemnity Insurance Company	571682	Agent - Property	5/16/2013
Active	Peerless Insurance Company	301910	Agent - Casualty	5/16/2013
Active	Peerless Insurance Company	301910	Agent - Property	5/16/2013
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	5/16/2013
Active	SAFECO Insurance Company of America	300159	Agent - Property	5/16/2013
Active	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	10/25/2022
Active	SAFECO Insurance Company of Illinois	301350	Agent - Property	10/25/2022
Active	State Automobile Mutual Insurance Company	301824	Agent - Casualty	8/13/2012
Active	State Automobile Mutual Insurance Company	301824	Agent - Property	8/13/2012
Inactive	Union Insurance Company of Providence	842791	Agent - Casualty	2/12/2015	10/30/2020
Inactive	Union Insurance Company of Providence	842791	Agent - Property	2/12/2015	10/30/2020
Active	West American Insurance Company	301112	Agent - Casualty	5/16/2013
Active	West American Insurance Company	301112	Agent - Property	5/16/2013
Active	West Bend Insurance Company	672974	Agent - Casualty	2/17/2014
Active	West Bend Insurance Company	672974	Agent - Property	2/17/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Thompson-Boerger Insurance Inc.	398809	Agent - Casualty	8/13/2012
Active	Thompson-Boerger Insurance Inc.	398809	Agent - Property	8/13/2012