DEPARTMENT OF INSURANCE
Affiliations
NameSiemer, Jacob RaymondDOIID928548NAIC NPN17712653
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentLife2/8/2018 10/31/2024
ActiveResidentAgentHealth9/10/2016 10/31/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent08/15/202410/31/2024   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAccendo Insurance Company300312Agent - Life8/4/2021 
ActiveAetna Health Inc. (PA)660717Agent - Health2/12/2018 
ActiveAetna Health and Life Insurance Company300523Agent - Health3/16/2018 
ActiveAetna Health of Ohio Inc.1065035Agent - Health7/28/2020 
ActiveAetna Life Insurance Company301140Agent - Health2/12/2018 
ActiveAetna Life Insurance Company301140Agent - Life2/12/2018 
InactiveAmerican Continental Insurance Company643130Agent - Life3/16/20188/11/2021
ActiveAmeritas Life Insurance Corporation300126Agent - Health7/12/2020 
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health9/15/201610/11/2017
ActiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health9/25/2021 
ActiveAnthem Insurance Companies, Inc.300941Agent - Health9/25/2021 
ActiveAnthem Life Insurance Company301209Agent - Health6/27/2018 
ActiveAnthem Life Insurance Company301209Agent - Life6/27/2018 
InactiveArcadian Health Plan, Inc.728196Agent - Health7/24/201812/13/2022
ActiveCIGNA Health & Life Insurance Company301783Agent - Health1/30/2023 
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/21/2022 
ActiveCareSource Kentucky Co.838179Agent - Health11/1/2019 
InactiveCompBenefits Insurance Company301864Agent - Health9/28/202112/13/2022
ActiveCompcare Health Services Insurance Corporation948751Agent - Health9/25/2021 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health3/16/2018 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life8/4/2021 
ActiveDental Concern Inc. (The)301641Agent - Health10/16/2023 
InactiveFidelity Security Life Insurance Company300466Agent - Health4/9/202012/15/2022
InactiveFidelity Security Life Insurance Company300466Agent - Life4/9/202012/15/2022
ActiveFirst Health Life & Health Insurance Company301735Agent - Health2/12/2018 
ActiveGolden Rule Insurance Company301943Agent - Health2/21/2018 
ActiveGolden Rule Insurance Company301943Agent - Life2/21/2018 
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health7/24/201812/13/2022
ActiveHumana Health Plan of Ohio Inc.301565Agent - Health6/7/2023 
InactiveHumana Health Plan, Inc.300142Agent - Health7/24/201812/10/2018
ActiveHumana Insurance Company301104Agent - Health3/13/2023 
InactiveHumana Insurance Company301104Agent - Life7/10/201812/13/2022
ActiveHumana Medical Plan, Inc.801568Agent - Health7/24/2018 
ActiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health12/4/2023 
ActiveMolina Healthcare of Kentucky, Inc.1035856Agent - Health8/20/2021 
ActiveNational Health Insurance Company300554Agent - Health10/18/2017 
ActiveSilverScript Insurance Company663526Agent - Health11/1/2019 
InactiveTime Insurance Company300683Agent - Health10/18/201711/22/2019
InactiveTime Insurance Company300683Agent - Life2/14/201811/22/2019
ActiveUnitedHealthcare Insurance Company300946Agent - Health2/27/2018 
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health2/27/201812/21/2018
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health8/6/201912/22/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health7/15/201812/23/2021
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health2/27/2018 
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health10/20/20194/8/2021
ActiveWellCare Health Plans of Kentucky, Inc.838592Agent - Health8/6/2021 
ActiveWellCare Prescription Insurance Inc.654329Agent - Health5/25/2024 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveARC Benefit Solutions Inc1003380Agent - Health7/25/2019 
ActiveARC Benefit Solutions Inc1003380Agent - Life7/25/2019 
ActiveDental Choice Agency Inc.398085Agent - Health3/4/2023 
ActiveDesignated Agent Company Inc.681257Agent - Health6/27/2018 
ActiveDesignated Agent Company Inc.681257Agent - Life6/27/2018 

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