DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Kirby, Jacob Scott	DOIID	1201597	NAIC NPN	20017271

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	4/26/2022		4/30/2027
Active	Non Resident	Agent	Health	4/26/2022		4/30/2027
* 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	02/15/2025	04/30/2025	04/22/2025	04/22/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Freedom Life Insurance Company of America	300074	Agent - Health	5/2/2022
Active	Freedom Life Insurance Company of America	300074	Agent - Life	5/2/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Ushealth Advisors Llc	713288	Agent - Life	5/2/2022
Active	Ushealth Advisors Llc	713288	Agent - Health	5/2/2022