DEPARTMENT OF INSURANCE
Affiliations
NameJacobs, Wyatt RichardDOIID563468NAIC NPN7446199
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentProperty1/24/2003 3/31/2027
ActiveNon ResidentAgentCasualty1/24/2003 3/31/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202703/31/2027   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
Inactive21st Century North America Insurance Company300884Agent - Casualty7/21/20102/7/2017
Inactive21st Century North America Insurance Company300884Agent - Property7/21/20102/7/2017
ActiveBristol West Insurance Company301655Agent - Casualty2/6/2016 
ActiveBristol West Insurance Company301655Agent - Property2/6/2016 
ActiveFarmers Insurance Exchange300336Agent - Casualty6/12/2020 
ActiveFarmers Insurance Exchange300336Agent - Property6/12/2020 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty7/15/2022 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property7/15/2022 
ActiveForemost Property and Casualty Insurance Company300871Agent - Casualty7/15/2022 
ActiveForemost Property and Casualty Insurance Company300871Agent - Property7/15/2022 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveFarmers General Insurance Agency, Inc.516608Agent - Casualty9/8/2025 
ActiveFarmers General Insurance Agency, Inc.516608Agent - Property9/8/2025 
InactiveForemost Express Insurance Agency Inc.515334Agent - Casualty12/18/201712/31/2018
InactiveForemost Express Insurance Agency Inc.515334Agent - Property12/18/201712/31/2018
ActiveFx Insurance Agency, LLC646184Agent - Casualty12/5/2018 
ActiveFx Insurance Agency, LLC646184Agent - Property12/5/2018 

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