DEPARTMENT OF INSURANCE

Name	Mitchell, Jacob	DOIID	939971	NAIC NPN	18238393

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Health	10/13/2021	6/30/2028
Active	Resident	Agent	Casualty	11/28/2017	6/30/2028
Active	Resident	Agent	Property	2/13/2017	6/30/2028
Active	Resident	Agent	Travel	3/19/2020	6/30/2028
Active	Resident	Agent	Life	4/27/2022	6/30/2028
Denied	Resident	Independent Adjuster	Property & Casualty
Pending Replacement	Resident	Surplus Lines Broker	Not Applicable	3/28/2019	6/30/2026

*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	04/15/2026	06/30/2026	06/29/2026	06/29/2026	Yes
Surplus Lines Broker	04/15/2026	06/30/2026

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Business / Home Office	303 Stonegate Dr Nicholasville, KY 40356
Residence	Not Public Information

Internet Information

Type	Address
Business Email	jacob.mitchell.ins@outlook.com - Bad Email-Correction requested

Phone Information

Type	Phone
Business / Home Office	(859) 559-8155