DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Jacobs, Michael John	DOIID	909215	NAIC NPN	363201

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	3/9/2016	12/31/2022
Inactive	Non Resident	Agent	Casualty	3/9/2016	12/31/2022
* 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	American Family Home Insurance Company	301817	Agent - Casualty	11/3/2020	5/1/2021
Inactive	American Family Home Insurance Company	301817	Agent - Property	11/3/2020	5/1/2021
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	11/3/2020	11/19/2020
Inactive	American Modern Home Insurance Company	300791	Agent - Property	11/3/2020	11/19/2020
Inactive	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	11/3/2020	11/19/2020
Inactive	American Modern Property and Casualty Insurance Company	301954	Agent - Property	11/3/2020	11/19/2020
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	11/3/2020	11/19/2020
Inactive	American Modern Select Insurance Company	581481	Agent - Property	11/3/2020	11/19/2020
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	11/24/2021	12/31/2022
Inactive	Bristol West Insurance Company	301655	Agent - Property	11/24/2021	12/31/2022
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	11/24/2021	12/31/2022
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	11/24/2021	12/31/2022
Inactive	RLI Insurance Company	301217	Agent - Casualty	7/30/2020	1/18/2023
Inactive	RLI Insurance Company	301217	Agent - Property	7/30/2020	1/18/2023
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - Casualty	7/23/2020	6/25/2022
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - Property	7/23/2020	6/25/2022
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	3/6/2020	6/25/2022
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	3/6/2020	6/25/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Associated Financial Group LLC	577636	Agent - Property
Denied	Associated Financial Group LLC	577636	Agent - Casualty