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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2026	03/31/2026

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
Inactive	Peerless Insurance Company	301910	Agent - Casualty	5/16/2013	5/8/2025
Inactive	Peerless Insurance Company	301910	Agent - Property	5/16/2013	5/8/2025
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