DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Jacobsen, David	DOIID	969720	NAIC NPN	8547854

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	9/27/2017		2/29/2028
Active	Non Resident	Agent	Health	9/27/2017		2/29/2028
* 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	Accendo Insurance Company	300312	Agent - Life	6/10/2020	9/2/2025
Active	Aetna Health Inc. (PA)	660717	Agent - Health	2/24/2020
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	1/4/2021
Active	Aetna Life Insurance Company	301140	Agent - Health	2/24/2020
Active	Aetna Life Insurance Company	301140	Agent - Life	2/24/2020
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	8/10/2018	9/2/2025
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	9/29/2017	7/21/2022
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	9/29/2017	7/21/2022
Active	SilverScript Insurance Company	663526	Agent - Health	1/1/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Benefit Commerce Group, An Alera Group Agency LLC	1194533	Agent - Health	10/14/2026
Active	Benefit Commerce Group, An Alera Group Agency LLC	1194533	Agent - Life	10/14/2026