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	9/30/2026
Active	Non Resident	Agent	Property	8/9/2012	9/30/2026
* 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	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
Inactive	Next Insurance US Company	1083825	Agent - Casualty	6/25/2023	4/29/2025
Inactive	Next Insurance US Company	1083825	Agent - Property	6/25/2023	4/29/2025
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