DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Jacobson, David Stewart	DOIID	971831	NAIC NPN	2628878

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/9/2017		3/31/2026
Active	Non Resident	Agent	Life	10/9/2017		3/31/2026
Active	Non Resident	Agent	Property	10/9/2017		3/31/2026
Active	Non Resident	Agent	Casualty	10/9/2017		3/31/2026
* 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
Active	Arch Indemnity Insurance Company	301459	Agent - Casualty	11/8/2021
Active	Arch Indemnity Insurance Company	301459	Agent - Property	11/8/2021
Active	Arch Insurance Company	300688	Agent - Casualty	12/14/2020
Active	Arch Insurance Company	300688	Agent - Property	12/14/2020
Active	Ohio Security Insurance Company	300622	Agent - Casualty	2/12/2024
Active	Ohio Security Insurance Company	300622	Agent - Property	2/12/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Acrisure Southwest Partners Insurance Services LLC	1274776	Agent - Life
Denied	Acrisure Southwest Partners Insurance Services LLC	1274776	Agent - Health
Active	Acrisure Southwest Partners Insurance Services LLC	1274776	Agent - Property	1/28/2025
Active	Acrisure Southwest Partners Insurance Services LLC	1274776	Agent - Casualty	1/28/2025