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	Health	4/17/2018	7/31/2027
Active	Non Resident	Agent	Life	4/17/2018	7/31/2027
* 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 - 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