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DEPARTMENT OF INSURANCE
Affiliations
Name
Jacobson, Matthew Andrews
DOIID
330036
NAIC NPN
1631717
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Resident
Agent
Health
9/19/2008
7/1/2010
Inactive
Resident
Agent
Variable Life and Variable Annuities
9/19/2008
7/1/2010
Inactive
Resident
Agent
Health Maintenance Organization
11/4/1994
3/1/2001
Inactive
Resident
Agent
Life
9/19/2008
7/1/2010
* If a status Is
Pending, Pending Replacement
,Or the record displays
Affidavit On File
, click On them For more details.
Notice:
The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.
Appointments with the following Insurers
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Advantage Care, Inc.
300998
Agent - Health Maintenance Organization
11/22/1995
12/1/2000
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Health
7/10/1996
5/19/2005
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Life
7/10/1996
5/19/2005
Inactive
American Family Life Assurance Company of Columbus (AFLAC)
301781
Agent - Health
12/11/1997
3/3/2003
Inactive
American Family Life Assurance Company of Columbus (AFLAC)
301781
Agent - Life
12/11/1997
3/3/2003
Inactive
American Heritage Life Insurance Company
300272
Agent - Health
1/5/1995
12/21/1998
Inactive
American Heritage Life Insurance Company
300272
Agent - Life
1/5/1995
12/21/1998
Inactive
Anthem Life Insurance Company
301209
Agent - Health
1/11/1995
6/30/2008
Inactive
Anthem Life Insurance Company
301209
Agent - Life
1/11/1995
6/30/2008
Inactive
Assurity Life Insurance Company
301099
Agent - Health
11/17/1998
1/24/2003
Inactive
Assurity Life Insurance Company
301099
Agent - Life
11/17/1998
1/24/2003
Inactive
Athene Annuity & Life Assurance Company
301798
Agent - Health
8/16/1994
12/14/1998
Inactive
Athene Annuity & Life Assurance Company
301798
Agent - Life
8/16/1994
12/14/1998
Inactive
Bankers Life Insurance Company
301784
Agent - Health
2/20/2001
11/18/2002
Inactive
Bankers Life Insurance Company
301784
Agent - Life
2/20/2001
11/18/2002
Inactive
Banner Life Insurance Company
301696
Agent - Life
2/23/1999
10/14/2003
Inactive
Baptist Health Plan, Inc.
300157
Agent - Health
3/1/2001
6/30/2008
Inactive
Baptist Health Plan, Inc.
300157
Agent - Health Maintenance Organization
5/17/1999
3/1/2001
Inactive
Berkshire Life Insurance Company
301158
Agent - Health
1/8/2001
4/2/2001
Inactive
Berkshire Life Insurance Company
301158
Agent - Life
1/8/2001
7/1/2001
Inactive
Berkshire Life Insurance Company of America
300983
Agent - Health
6/27/2001
10/31/2006
Inactive
Berkshire Life Insurance Company of America
300983
Agent - Life
6/27/2001
10/31/2006
Inactive
C.M. Life Insurance Company
301335
Agent - Health
9/26/2008
4/17/2009
Inactive
C.M. Life Insurance Company
301335
Agent - Life
9/26/2008
4/17/2009
Inactive
C.M. Life Insurance Company
301335
Agent - Variable Life and Variable Annuities
9/26/2008
4/17/2009
Inactive
CHA HMO, Inc.
300662
Agent - Health
3/11/2002
11/17/2004
Inactive
Canada Life Assurance Company
301192
Agent - Health
1/24/1994
9/8/2003
Inactive
Canada Life Assurance Company
301192
Agent - Life
1/24/1994
9/8/2003
Inactive
Centennial Life Insurance Company (The)
301561
Agent - Health
12/14/1995
3/31/1997
Inactive
Centennial Life Insurance Company (The)
301561
Agent - Life
12/14/1995
3/31/1997
Inactive
Chase Insurance Life and Annuity Company
300518
Agent - Health
7/26/1994
4/1/2007
Inactive
Chase Insurance Life and Annuity Company
300518
Agent - Life
7/26/1994
4/1/2007
Inactive
Clarica Life Insurance Company - U.S.
300207
Agent - Health
6/9/1994
3/31/1997
Inactive
Clarica Life Insurance Company - U.S.
300207
Agent - Life
6/9/1994
3/31/1997
Inactive
Companion Life Insurance Company
300191
Agent - Health
4/7/1994
12/31/1998
Inactive
Companion Life Insurance Company
300191
Agent - Life
4/7/1994
12/31/1998
Inactive
Conseco Medical Insurance Company
300719
Agent - Health
9/22/1994
3/9/1998
Inactive
Conseco Medical Insurance Company
300719
Agent - Life
9/22/1994
3/9/1998
Inactive
Dearborn Life Insurance Company
300401
Agent - Health
12/31/2004
6/30/2008
Inactive
Dearborn Life Insurance Company
300401
Agent - Life
12/31/2004
6/30/2008
Inactive
Dental Concern Inc. (The)
301641
Agent - Health
3/21/2009
7/1/2010
Inactive
Equitable Financial Life Insurance Company of America
301772
Agent - Life
12/10/2002
2/20/2003
Inactive
Equitable Financial Life Insurance Company of America
301772
Agent - Variable Life and Variable Annuities
12/10/2002
2/20/2003
Inactive
Fidelity & Guaranty Life Insurance Company
301359
Agent - Life
8/16/2006
6/30/2008
Inactive
First Colony Life Insurance Company
301179
Agent - Life
10/26/1992
7/14/2004
Inactive
First Penn-Pacific Life Insurance Company
301581
Agent - Health
9/10/2003
6/30/2008
Inactive
First Penn-Pacific Life Insurance Company
301581
Agent - Life
9/10/2003
6/30/2008
Inactive
Genworth Life Insurance Company
300623
Agent - Health
1/3/2007
6/30/2008
Inactive
Genworth Life Insurance Company
300623
Agent - Life
1/3/2007
6/30/2008
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Health
1/5/1994
3/31/1997
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Life
1/5/1994
3/31/1997
Inactive
Golden Rule Insurance Company
301943
Agent - Health
7/23/1992
8/5/2005
Inactive
Golden Rule Insurance Company
301943
Agent - Life
7/23/1992
8/5/2005
Inactive
Guardian Life Insurance Company of America
301316
Agent - Health
8/24/1993
10/31/2006
Inactive
Guardian Life Insurance Company of America
301316
Agent - Life
8/24/1993
10/31/2006
Inactive
HealthSpring National Health Insurance Company
300235
Agent - Health
6/1/1993
3/31/1997
Inactive
HealthSpring National Health Insurance Company
300235
Agent - Life
6/1/1993
3/31/1997
Inactive
Humana Health Plan, Inc.
300142
Agent - Health
9/24/2008
7/1/2010
Inactive
Humana Health Plan, Inc.
300142
Agent - Health Maintenance Organization
11/4/1994
3/1/2001
Inactive
Humana Insurance Company
301104
Agent - Health
9/24/2008
7/1/2010
Inactive
Humana Insurance Company
301104
Agent - Life
9/24/2008
7/1/2010
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Health
9/24/2008
7/1/2010
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Life
9/24/2008
7/1/2010
Inactive
Illinois Mutual Life Insurance Company
301479
Agent - Health
12/21/1992
6/30/2008
Inactive
Illinois Mutual Life Insurance Company
301479
Agent - Life
12/21/1992
6/30/2008
Inactive
Investors Heritage Life Insurance Company
300363
Agent - Health
2/18/1992
6/30/2008
Inactive
Investors Heritage Life Insurance Company
300363
Agent - Life
2/18/1992
6/30/2008
Inactive
John Alden Life Insurance Company
300573
Agent - Health
9/29/1992
4/13/1998
Inactive
John Alden Life Insurance Company
300573
Agent - Life
9/29/1992
4/13/1998
Inactive
Kanawha Insurance Company
300127
Agent - Health
9/24/2008
7/1/2010
Inactive
Kanawha Insurance Company
300127
Agent - Life
9/24/2008
7/1/2010
Inactive
Life Insurance Company of Alabama
301439
Agent - Health
12/1/1992
6/30/2008
Inactive
Life Insurance Company of Alabama
301439
Agent - Life
12/1/1992
6/30/2008
Inactive
Lincoln Benefit Life Company
301110
Agent - Health
9/22/2008
7/1/2010
Inactive
Lincoln Benefit Life Company
301110
Agent - Life
9/22/2008
7/1/2010
Inactive
Lincoln Benefit Life Company
301110
Agent - Variable Life and Variable Annuities
9/22/2008
7/1/2010
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Health
9/23/2003
6/30/2008
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Life
9/23/2003
6/30/2008
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Variable Life and Variable Annuities
3/11/2005
6/30/2008
Inactive
MML Bay State Life Insurance Company
301198
Agent - Health
3/25/2003
6/30/2008
Inactive
MML Bay State Life Insurance Company
301198
Agent - Life
3/25/2003
6/30/2008
Inactive
MML Bay State Life Insurance Company
301198
Agent - Variable Life and Variable Annuities
3/25/2003
6/30/2008
Inactive
MONY Life Insurance Company
301141
Agent - Health
5/1/1992
7/30/2001
Inactive
MONY Life Insurance Company
301141
Agent - Life
5/1/1992
7/30/2001
Inactive
Manhattan Life Insurance Company
300880
Agent - Life
8/15/1995
11/30/1998
Inactive
Manhattan National Life Insurance Company
301011
Agent - Health
6/22/1994
10/11/1999
Inactive
Manhattan National Life Insurance Company
301011
Agent - Life
6/22/1994
10/11/1999
Inactive
Massachusetts Mutual Life Insurance Company
300445
Agent - Health
9/26/2008
4/17/2009
Inactive
Massachusetts Mutual Life Insurance Company
300445
Agent - Life
9/26/2008
4/17/2009
Inactive
Massachusetts Mutual Life Insurance Company
300445
Agent - Variable Life and Variable Annuities
9/26/2008
4/17/2009
Inactive
Medical Life Insurance Company
300693
Agent - Health
8/31/1999
12/31/2004
Inactive
Medical Life Insurance Company
300693
Agent - Life
8/31/1999
12/31/2004
Inactive
Metropolitan Life Insurance Company
301948
Agent - Health
6/17/1998
6/30/2008
Inactive
Metropolitan Life Insurance Company
301948
Agent - Life
6/17/1998
6/30/2008
Inactive
Mutual of Omaha Insurance Company
301012
Agent - Health
1/18/2000
6/30/2008
Inactive
Nassau Life Insurance Company of Kansas
300667
Agent - Health
7/27/1993
3/31/1997
Inactive
Nassau Life Insurance Company of Kansas
300667
Agent - Life
7/27/1993
3/31/1997
Inactive
Occidental Life Insurance Company of North Carolina
301185
Agent - Health
10/20/1994
1/31/1997
Inactive
Occidental Life Insurance Company of North Carolina
301185
Agent - Life
10/20/1994
1/31/1997
Inactive
Paul Revere Life Insurance Company
300971
Agent - Health
2/25/1998
12/11/2002
Inactive
Paul Revere Life Insurance Company
300971
Agent - Life
2/25/1998
12/11/2002
Inactive
Penn Mutual Life Insurance Company
301394
Agent - Health
8/22/1995
7/22/1996
Inactive
Penn Mutual Life Insurance Company
301394
Agent - Life
8/22/1995
7/22/1996
Inactive
Peoples Benefit Life Insurance Company
301895
Agent - Health
7/24/1997
5/27/2005
Inactive
Peoples Benefit Life Insurance Company
301895
Agent - Life
7/24/1997
5/27/2005
Inactive
Philadelphia American Life Insurance Company
300178
Agent - Health
6/2/1994
3/31/1997
Inactive
Philadelphia American Life Insurance Company
300178
Agent - Life
6/2/1994
3/31/1997
Inactive
Pioneer Life Insurance Company
300110
Agent - Health
9/7/1995
5/27/2003
Inactive
Pioneer Life Insurance Company
300110
Agent - Life
9/7/1995
5/27/2003
Inactive
Principal Life Insurance Company
300129
Agent - Health
1/12/1994
6/30/2008
Inactive
Principal Life Insurance Company
300129
Agent - Life
1/12/1994
6/30/2008
Inactive
Protective Life Insurance Company
300638
Agent - Health
4/1/2007
6/30/2008
Inactive
Protective Life Insurance Company
300638
Agent - Life
4/1/2007
6/30/2008
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Health
10/29/1996
10/24/2003
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Life
10/29/1996
10/24/2003
Inactive
Pruco Life Insurance Company
300954
Agent - Health
10/28/2008
7/1/2010
Inactive
Pruco Life Insurance Company
300954
Agent - Life
10/28/2008
7/1/2010
Inactive
Reassure America Life Insurance Company
301902
Agent - Health
9/11/1998
1/2/2003
Inactive
Reassure America Life Insurance Company
301902
Agent - Life
9/11/1998
1/2/2003
Inactive
Settlers Life Insurance Company
300189
Agent - Health
9/20/1993
9/25/2000
Inactive
Settlers Life Insurance Company
300189
Agent - Life
9/20/1993
3/3/2005
Inactive
SunAmerica Annuity and Life Assurance Company
301930
Agent - Health
3/23/2001
6/30/2008
Inactive
SunAmerica Annuity and Life Assurance Company
301930
Agent - Life
3/23/2001
12/7/2004
Inactive
SunAmerica Annuity and Life Assurance Company
301930
Agent - Variable Life and Variable Annuities
8/21/2001
12/7/2004
Inactive
SunAmerica Life Insurance Company
300096
Agent - Life
3/14/1994
3/31/1997
Inactive
Time Insurance Company
300683
Agent - Health
8/24/1994
6/30/2008
Inactive
Time Insurance Company
300683
Agent - Life
8/24/1994
6/30/2008
Inactive
Transamerica Premier Life Insurance Company
300558
Agent - Health
5/24/1995
10/16/1996
Inactive
Transamerica Premier Life Insurance Company
300558
Agent - Life
5/24/1995
10/16/1996
Inactive
U.S. Financial Life Insurance Company
301812
Agent - Health
2/17/1994
9/26/2007
Inactive
U.S. Financial Life Insurance Company
301812
Agent - Life
2/17/1994
9/26/2007
Inactive
UNUM Life Insurance Company of America
300817
Agent - Health
3/20/2001
10/24/2003
Inactive
UNUM Life Insurance Company of America
300817
Agent - Life
3/20/2001
10/24/2003
Inactive
Union Central Life Insurance Company
300307
Agent - Health
1/13/2009
7/1/2010
Inactive
Union Central Life Insurance Company
300307
Agent - Life
1/13/2009
7/1/2010
Inactive
United World Life Insurance Company
300532
Agent - Health
7/29/2004
6/30/2008
Inactive
United of Omaha Life Insurance Company
300156
Agent - Health
4/22/2003
6/30/2008
Inactive
United of Omaha Life Insurance Company
300156
Agent - Life
4/22/2003
6/30/2008
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Health
5/5/1998
6/30/2008
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Life
5/5/1998
6/30/2008
Inactive
UnitedHealthcare Life Insurance Company
301517
Agent - Health
9/22/1995
3/31/1997
Inactive
UnitedHealthcare Life Insurance Company
301517
Agent - Life
9/22/1995
3/31/1997
Inactive
UnitedHealthcare of Kentucky, Ltd.
301337
Agent - Health
3/1/2001
6/30/2008
Inactive
UnitedHealthcare of Kentucky, Ltd.
301337
Agent - Health Maintenance Organization
5/5/1998
3/1/2001
Inactive
Washington National Insurance Company
300587
Agent - Health
3/27/1992
3/31/1997
Inactive
Washington National Insurance Company
300587
Agent - Life
3/27/1992
3/31/1997
Inactive
Western National Life Insurance Company
300461
Agent - Life
9/26/1995
11/22/1996
Inactive
Woodmen Accident and Life Company
300147
Agent - Health
5/28/1997
6/28/2000
Inactive
Woodmen Accident and Life Company
300147
Agent - Life
5/28/1997
6/28/2000
Inactive
300277
Agent - Health
5/1/1996
1/1/2007
Inactive
300277
Agent - Life
5/1/1996
1/1/2007
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Acordia of Lexington Inc.
401285
Agent - Life
3/7/1995
12/10/2001
Inactive
Acordia of Lexington Inc.
401285
Agent - Health
3/7/1995
12/10/2001
Inactive
Arison Insurance Services, Inc.
401001
Agent - Life
8/24/1999
6/23/2008
Inactive
Arison Insurance Services, Inc.
401001
Agent - Health
8/24/1999
6/23/2008
Inactive
Dental Choice Agency Inc.
398085
Agent - Health
4/13/2009
7/1/2010
Denied
Designated Agent Company Inc.
681257
Agent - Life
Denied
Designated Agent Company Inc.
681257
Agent - Health
Inactive
Healthplan Services, Inc.
401230
Agent - Health
8/31/1995
3/31/1997
Inactive
J R Young Company Inc.
399149
Agent - Life
8/8/1994
2/7/2003
Inactive
J R Young Company Inc.
399149
Agent - Health
8/8/1994
2/7/2003
Inactive
MML Insurance Agency LLC
398679
Agent - Life
2/21/2005
6/30/2008
Inactive
MML Insurance Agency LLC
398679
Agent - Health
2/21/2005
6/30/2008
Inactive
MML Insurance Agency LLC
398679
Agent - Variable Life and Variable Annuities
9/23/2002
6/30/2008
Inactive
Medlink Inc
400721
Agent - Life
2/19/2009
7/1/2010
Inactive
Medlink Inc
400721
Agent - Health
2/19/2009
7/1/2010
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