DEPARTMENT OF INSURANCE

Affiliations

Name	Jacobs, Michael	DOIID	788041	NAIC NPN	14685728

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	8/9/2012	9/30/2024
Active	Non Resident	Agent	Property	8/9/2012	9/30/2024
* 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	07/15/2024	09/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	American Family Home Insurance Company	301817	Agent - Casualty	5/4/2023
Active	American Family Home Insurance Company	301817	Agent - Property	5/4/2023
Active	Hartford Accident and Indemnity Company	301917	Agent - Casualty	3/25/2021
Active	Hartford Accident and Indemnity Company	301917	Agent - Property	3/25/2021
Active	Hartford Underwriters Insurance Company	301064	Agent - Casualty	9/22/2020
Active	Hartford Underwriters Insurance Company	301064	Agent - Property	9/22/2020
Active	Mount Vernon Fire Insurance Company	301397	Agent - Casualty	10/15/2015
Active	Mount Vernon Fire Insurance Company	301397	Agent - Property	10/15/2015
Active	National Specialty Insurance Company	300993	Agent - Casualty	7/17/2023
Active	National Specialty Insurance Company	300993	Agent - Property	7/17/2023
Active	National Trust Insurance Company	300367	Agent - Casualty	3/19/2020
Active	National Trust Insurance Company	300367	Agent - Property	3/19/2020
Active	Next Insurance US Company	1083825	Agent - Casualty	6/25/2023
Active	Next Insurance US Company	1083825	Agent - Property	6/25/2023
Active	Ohio Security Insurance Company	300622	Agent - Casualty	5/28/2020
Active	Ohio Security Insurance Company	300622	Agent - Property	5/28/2020
Active	Sentinel Insurance Company, Limited	501696	Agent - Casualty	12/13/2021
Active	Sentinel Insurance Company, Limited	501696	Agent - Property	12/13/2021
Active	State National Insurance Company, Inc.	300888	Agent - Casualty	7/17/2023
Active	State National Insurance Company, Inc.	300888	Agent - Property	7/17/2023
Active	Twin City Fire Insurance Company	300721	Agent - Casualty	5/17/2018
Active	Twin City Fire Insurance Company	300721	Agent - Property	5/17/2018
Active	United States Fire Insurance Company	582240	Agent - Casualty	10/25/2017
Active	United States Fire Insurance Company	582240	Agent - Property	10/25/2017
Active	Westfield Insurance Company	301950	Agent - Casualty	1/7/2020
Active	Westfield Insurance Company	301950	Agent - Property	1/7/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	AP Benefit Advisors LLC	951883	Agent - Property	7/25/2023
Active	AP Benefit Advisors LLC	951883	Agent - Casualty	7/25/2023
Inactive	The Jacobs Company Inc.	559760	Agent - Property	8/9/2012	3/31/2024
Inactive	The Jacobs Company Inc.	559760	Agent - Casualty	8/9/2012	3/31/2024