DEPARTMENT OF INSURANCE

Affiliations

Name	Jacobs, Mark A	DOIID	991509	NAIC NPN	8853491

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	4/17/2018	7/31/2025
Active	Non Resident	Agent	Health	4/17/2018	7/31/2025
* 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	05/15/2025	07/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	9/10/2021	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Active	Aetna Health Inc. (PA)	660717	Agent - Health	9/10/2019
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	3/10/2020
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/23/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	9/10/2019
Inactive	All Savers Insurance Company	301940	Agent - Health	8/22/2022	10/2/2023
Inactive	All Savers Insurance Company	301940	Agent - Life	8/22/2022	10/2/2023
Inactive	American Continental Insurance Company	643130	Agent - Life	3/10/2020	12/6/2021
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	7/1/2020
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	10/1/2021	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	10/1/2021
Inactive	Bankers Fidelity Assurance Company	554627	Agent - Health	2/13/2020	12/14/2023
Inactive	Bankers Fidelity Assurance Company	554627	Agent - Life	2/13/2020	12/14/2023
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Health	2/13/2020	12/14/2023
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Life	2/13/2020	12/14/2023
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/20/2022
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	10/22/2018	9/6/2019
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	10/22/2018	9/6/2019
Active	Colonial Life and Accident Insurance Company	300846	Agent - Health	7/22/2019
Active	Colonial Life and Accident Insurance Company	300846	Agent - Life	7/22/2019
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	10/1/2021
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	8/10/2018
Inactive	Elixir Insurance Company	696846	Agent - Health	3/6/2020	10/1/2020
Inactive	Golden Rule Insurance Company	301943	Agent - Health	12/13/2018	12/27/2018
Inactive	Golden Rule Insurance Company	301943	Agent - Life	12/13/2018	12/27/2018
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	12/17/2019	12/29/2020
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	12/17/2019	12/29/2020
Inactive	Lasso Healthcare Insurance Company	1022651	Agent - Health	2/27/2020	12/30/2021
Active	MedMutual Life Insurance Company	301047	Agent - Health	1/20/2025
Active	Mutual of Omaha Insurance Company	301012	Agent - Health	3/29/2019
Active	Pekin Life Insurance Company	300951	Agent - Health	3/2/2020
Active	Pekin Life Insurance Company	300951	Agent - Life	3/2/2020
Active	Reserve National Insurance Company	301073	Agent - Health	11/7/2024
Active	SilverScript Insurance Company	663526	Agent - Health	8/23/2019
Active	Standard Life and Accident Insurance Company	301534	Agent - Health	6/13/2024
Active	Tier One Insurance Company	301056	Agent - Health	11/18/2024
Active	Tier One Insurance Company	301056	Agent - Life	11/18/2024
Active	Transamerica Life Insurance Company	300571	Agent - Health	4/12/2019
Active	Transamerica Life Insurance Company	300571	Agent - Life	4/12/2019
Active	United Insurance Company of America	300775	Agent - Health	11/7/2024
Active	United of Omaha Life Insurance Company	300156	Agent - Health	3/29/2019
Active	United of Omaha Life Insurance Company	300156	Agent - Life	3/29/2019
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	1/17/2021
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	8/22/2022
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	1/17/2021	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	1/17/2021	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	1/17/2021
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	3/15/2020	12/29/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	3/15/2020	3/2/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	7/1/2020	2/10/2025
Inactive	Designated Agent Company Inc.	681257	Agent - Life	7/1/2020	2/10/2025
Active	Hummel-Steinmetz Agency, Inc	526588	Agent - Health	1/21/2020
Active	Hummel-Steinmetz Agency, Inc	526588	Agent - Life	1/21/2020