DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Keilig, Jacob	DOIID	1158918	NAIC NPN	19578059

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/15/2021		8/31/2025
Active	Non Resident	Agent	Life	9/15/2021		8/31/2025
* 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	06/15/2025	08/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACE Property and Casualty Insurance Company	300520	Agent - Health	10/23/2023
Active	Ameritas Life Insurance Corporation	300126	Agent - Health	10/9/2022
Active	Loyal American Life Insurance Company	301172	Agent - Health	12/27/2022
Active	ManhattanLife Insurance and Annuity Company	301795	Agent - Health	11/12/2021
Active	Tier One Insurance Company	301056	Agent - Health	8/4/2023
Inactive	Tier One Insurance Company	301056	Agent - Life	8/4/2023	1/22/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/29/2022	2/21/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Smart Match Insurance Agency LLC	829381	Agent - Life
Inactive	Smart Match Insurance Agency LLC	829381	Agent - Health	11/12/2021	12/5/2024
Denied	Spring Ins Solutions LLC	788951	Agent - Life
Active	Spring Ins Solutions LLC	788951	Agent - Health	12/10/2024