DEPARTMENT OF INSURANCE
Affiliations
NameBoehm, Jacob DOIID947687NAIC NPN17890777
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentHealth3/13/20178/31/2019 
InactiveNon ResidentAgentProperty3/13/20178/31/2019 
InactiveNon ResidentAgentLife3/13/20178/31/2019 
InactiveNon ResidentAgentCasualty3/13/20178/31/2019 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBristol West Insurance Company301655Agent - Casualty5/5/201710/3/2017
InactiveBristol West Insurance Company301655Agent - Property5/5/201710/3/2017
InactiveCMFG Life Insurance Company300929Agent - Health12/13/20179/9/2019
InactiveCMFG Life Insurance Company300929Agent - Life12/13/20179/9/2019
InactiveDairyland Insurance Company301370Agent - Casualty4/6/20178/31/2017
InactiveDairyland Insurance Company301370Agent - Property4/6/20178/31/2017
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty5/5/201710/3/2017
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property5/5/201710/3/2017
InactiveLumico Life Insurance Company300354Agent - Health9/27/20188/31/2019
InactiveLumico Life Insurance Company300354Agent - Life9/27/20188/31/2019
InactiveNational General Insurance Company300152Agent - Casualty3/27/20178/22/2017
InactiveNational General Insurance Company300152Agent - Property3/27/20178/22/2017
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveNational General Ins Marketing Inc621228Agent - Casualty3/27/20178/24/2017
InactiveNational General Ins Marketing Inc621228Agent - Property3/27/20178/24/2017

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