DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Starr, Jacob	DOIID	901564	NAIC NPN	17742246

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	12/14/2015	9/30/2023
Inactive	Non Resident	Agent	Life	12/14/2015	9/30/2023
Inactive	Non Resident	Agent	Personal Lines	7/1/2019	9/30/2023
* 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
Inactive	Electric Insurance Company	301758	Agent - Personal Lines	6/5/2020	2/1/2021
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Personal Lines	7/11/2019	2/10/2022
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Personal Lines	7/11/2019	2/10/2022
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	2/3/2017	9/23/2019
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	2/3/2017	9/23/2019
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	2/3/2017	9/23/2019
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	2/3/2017	9/23/2019
Inactive	Unitrin Direct Property & Casualty Company	637443	Agent - Personal Lines	7/24/2019	10/2/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mercer Health & Benefits Administration Llc	656414	Agent - Health	1/15/2019	9/23/2019
Inactive	Mercer Health & Benefits Administration Llc	656414	Agent - Life	1/15/2019	9/23/2019