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
Inactive	Non Resident	Agent	Health	7/5/2023	4/30/2025
Inactive	Non Resident	Agent	Life	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.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	7/10/2023	4/30/2025
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/10/2023	4/30/2025
Inactive	Aetna Life Insurance Company	301140	Agent - Health	7/10/2023	4/30/2025
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
Inactive	SilverScript Insurance Company	663526	Agent - Health	7/10/2023	4/30/2025
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