DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Bevilacqua, Jacob	DOIID	1185295	NAIC NPN	19962748

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	1/28/2022		6/30/2026
Active	Non Resident	Agent	Life	1/28/2022		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

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Health	2/1/2025	9/9/2025
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Life	2/2/2025	9/9/2025
Active	Banner Life Insurance Company	301696	Agent - Life	9/23/2022
Active	Fidelity Security Life Insurance Company	300466	Agent - Health	1/27/2025
Active	Fidelity Security Life Insurance Company	300466	Agent - Life	1/27/2025
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	4/22/2022
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	4/22/2022
Active	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	11/10/2025
Active	Pacific Life Insurance Company	301848	Agent - Health	8/14/2023
Active	Pacific Life Insurance Company	301848	Agent - Life	8/14/2023
Active	Principal Life Insurance Company	300129	Agent - Health	4/24/2023
Active	Principal Life Insurance Company	300129	Agent - Life	4/24/2023
Active	Principal National Life Insurance Company	301926	Agent - Life	8/24/2023
Active	Pruco Life Insurance Company	300954	Agent - Life	2/28/2025
Active	Thrivent Financial for Lutherans	301101	Agent - Health	7/18/2022
Active	Thrivent Financial for Lutherans	301101	Agent - Life	7/18/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	TBS Agency, Inc.	502294	Agent - Life	11/26/2025
Active	TBS Agency, Inc.	502294	Agent - Health	11/26/2025