DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Dennis, Jacob	DOIID	1442167	NAIC NPN	21636264

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	1/9/2026		7/31/2027
Active	Non Resident	Agent	Life	1/9/2026		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
Active	Fidelity Investments Life Insurance Company	300620	Agent - Health	10/21/2026
Active	Fidelity Investments Life Insurance Company	300620	Agent - Life	1/11/2026
Active	New York Life Insurance and Annuity Corporation	300726	Agent - Life	6/8/2026
Active	USAA Life Insurance Company	300734	Agent - Life	2/17/2026
Active	Western-Southern Life Assurance Company	301590	Agent - Life	1/23/2026

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Fidelity Insurance Agency Inc.	400221	Agent - Life	10/28/2026
Active	Fidelity Insurance Agency Inc.	400221	Agent - Health	10/28/2026