DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Hill, Jacob Daniel	DOIID	814098	NAIC NPN	8061257

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	7/9/2013		7/31/2025
Active	Non Resident	Agent	Property	7/9/2013		7/31/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	3/30/2022		7/31/2025
* 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	05/15/2025	07/31/2025
Surplus Lines Broker	05/15/2025	07/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	7/29/2013	5/7/2021
Inactive	American Modern Home Insurance Company	300791	Agent - Property	7/29/2013	5/7/2021
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	3/7/2022
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	3/7/2022
Active	National Specialty Insurance Company	300993	Agent - Casualty	11/7/2022
Active	National Specialty Insurance Company	300993	Agent - Property	11/7/2022
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	12/14/2022
Active	Progressive Casualty Insurance Company	300696	Agent - Property	12/14/2022
Active	United Financial Casualty Company	301886	Agent - Casualty	12/14/2022
Active	United Financial Casualty Company	301886	Agent - Property	12/14/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mcgriff Seibels & Williams Inc	593804	Agent - Property	10/28/2016	5/7/2021
Inactive	Mcgriff Seibels & Williams Inc	593804	Agent - Casualty	10/28/2016	5/7/2021
Active	Newcoast Insurance Services, LLC	1139813	Agent - Property	5/15/2023
Active	Newcoast Insurance Services, LLC	1139813	Agent - Casualty	5/15/2023