DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Watkins, Jacobah	DOIID	931351	NAIC NPN	17390613

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	9/29/2016	4/30/2019
Inactive	Non Resident	Agent	Casualty	9/29/2016	4/30/2019
Pending Replacement	Non Resident	Agent	Life	7/5/2023		4/30/2025
Pending Replacement	Non Resident	Agent	Health	7/5/2023		4/30/2025
* 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	02/15/2025	04/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	Aetna Health Inc. (PA)	660717	Agent - Health	7/10/2023
Pending Replacement	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/10/2023
Pending Replacement	Aetna Life Insurance Company	301140	Agent - Health	7/10/2023
Inactive	CMFG Life Insurance Company	300929	Agent - Health	7/11/2023	8/9/2023
Inactive	CMFG Life Insurance Company	300929	Agent - Life	7/11/2023	8/9/2023
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	10/10/2018	4/30/2019
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	10/10/2018	4/30/2019
Pending Replacement	SilverScript Insurance Company	663526	Agent - Health	7/10/2023
Inactive	State Farm Fire and Casualty Company	301809	Agent - Casualty	10/3/2016	1/11/2017
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	10/3/2016	1/11/2017
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	10/3/2016	1/11/2017
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	10/10/2018	4/30/2019
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	10/10/2018	4/30/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Optavise, LLC	671337	Agent - Health
Denied	Optavise, LLC	671337	Agent - Life