DEPARTMENT OF INSURANCE
Affiliations
NameJacobs, Charles LewisDOIID726643NAIC NPN15739305
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentLife8/8/2011 7/31/2027
ActiveResidentAgentHealth8/8/2011 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAccendo Insurance Company300312Agent - Life6/10/2020 
ActiveAetna Health Inc. (PA)660717Agent - Health10/10/2017 
ActiveAetna Health of Ohio Inc.1065035Agent - Health7/21/2020 
ActiveAetna Life Insurance Company301140Agent - Health10/10/2017 
ActiveAetna Life Insurance Company301140Agent - Life10/10/2017 
InactiveAmerican Continental Insurance Company643130Agent - Health4/5/20136/6/2016
InactiveAmerican Continental Insurance Company643130Agent - Life4/5/201312/15/2020
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health2/23/201311/20/2013
ActiveAmerican National Insurance Company301861Agent - Life6/23/2021 
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health11/9/2020 
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health9/23/202112/19/2024
ActiveAnthem Insurance Companies, Inc.300941Agent - Health6/12/2021 
InactiveAnthem Life Insurance Company301209Agent - Health11/17/20179/18/2020
InactiveAnthem Life Insurance Company301209Agent - Life11/17/20179/18/2020
ActiveArcadian Health Plan, Inc.728196Agent - Health10/12/2017 
ActiveBankers Fidelity Assurance Company554627Agent - Health5/25/2016 
ActiveBankers Fidelity Assurance Company554627Agent - Life5/25/2016 
ActiveBankers Fidelity Life Insurance Company300193Agent - Health12/28/2014 
ActiveBankers Fidelity Life Insurance Company300193Agent - Life12/28/2014 
InactiveBankers Life and Casualty Company300701Agent - Health8/8/201110/9/2012
InactiveBankers Life and Casualty Company300701Agent - Life8/8/201110/9/2012
InactiveBanner Life Insurance Company301696Agent - Life6/17/201310/22/2020
InactiveBaptist Health Plan, Inc.300157Agent - Health9/25/20153/31/2019
InactiveCIGNA Health & Life Insurance Company301783Agent - Health10/30/201712/27/2022
InactiveCIGNA Health & Life Insurance Company301783Agent - Life10/30/201712/27/2022
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/20/2022 
InactiveColonial Penn Life Insurance Company300491Agent - Health4/26/20108/1/2011
InactiveColonial Penn Life Insurance Company300491Agent - Life4/26/20108/1/2011
InactiveCompBenefits Dental, Inc.591692Agent - Health11/15/20126/15/2018
InactiveCompBenefits Insurance Company301864Agent - Health12/12/202212/12/2024
ActiveCompcare Health Services Insurance Corporation948751Agent - Health9/16/2021 
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health4/5/201312/15/2020
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life3/4/2021 
InactiveCoventry Health and Life Insurance Company301771Agent - Health4/30/20108/1/2011
InactiveDental Concern Inc. (The)301641Agent - Health8/16/201612/13/2022
ActiveDevoted Health Insurance Company of Kentucky, Inc.1306593Agent - Health8/19/2024 
ActiveEmphesys Insurance Company300598Agent - Health10/24/2025 
ActiveEssence Healthcare, Inc.657425Agent - Health11/5/2023 
ActiveFirst Health Life & Health Insurance Company301735Agent - Health10/10/2017 
InactiveForethought Life Insurance Company301407Agent - Life1/17/20131/30/2014
InactiveGateway Health Plan of Ohio, Inc.833424Agent - Health11/4/201412/28/2016
InactiveGenworth Life Insurance Company300623Agent - Health6/3/201410/17/2016
InactiveGenworth Life Insurance Company300623Agent - Life6/3/201410/17/2016
InactiveGuarantee Trust Life Insurance Company301043Agent - Health2/2/20171/2/2019
InactiveGuarantee Trust Life Insurance Company301043Agent - Life2/2/20171/2/2019
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health10/13/201412/13/2022
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health8/6/201912/13/2022
InactiveHumana Health Plan, Inc.300142Agent - Health9/4/201812/10/2018
ActiveHumana Insurance Company301104Agent - Health11/15/2012 
ActiveHumana Insurance Company301104Agent - Life11/15/2012 
InactiveHumana Insurance Company of Kentucky300826Agent - Health11/15/201212/13/2022
InactiveHumana Insurance Company of Kentucky300826Agent - Life11/15/201212/13/2022
ActiveHumana Medical Plan, Inc.801568Agent - Health10/13/2014 
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health10/12/201612/13/2022
InactiveIndependent Order of Foresters300743Agent - Life10/22/201212/15/2018
InactiveKanawha Insurance Company300127Agent - Health11/15/201210/22/2015
InactiveKanawha Insurance Company300127Agent - Life11/15/201210/22/2015
ActiveLifeShield National Insurance Company737111Agent - Health5/30/2024 
ActiveLifeShield National Insurance Company737111Agent - Life5/30/2024 
InactiveLincoln Heritage Life Insurance Company500016Agent - Health3/19/20188/11/2018
InactiveLincoln Heritage Life Insurance Company500016Agent - Life3/19/20188/11/2018
ActiveMedico Corp Life Insurance Company301777Agent - Health2/11/2025 
ActiveMedico Corp Life Insurance Company301777Agent - Life2/11/2025 
ActiveMedico Insurance Company301559Agent - Health7/29/2024 
ActiveMedico Insurance Company301559Agent - Life7/29/2024 
InactiveMedico Life and Health Insurance Company907406Agent - Health11/6/202012/21/2022
InactiveMedico Life and Health Insurance Company907406Agent - Life11/6/202012/21/2022
InactiveNationwide Life and Annuity Insurance Company300714Agent - Health7/14/201712/17/2020
InactiveNationwide Life and Annuity Insurance Company300714Agent - Life7/14/201712/17/2020
InactiveOmaha Health Insurance Company301296Agent - Health2/18/202012/27/2024
InactiveOmaha Insurance Company751908Agent - Health12/7/20178/8/2018
InactiveProtective Life Insurance Company300638Agent - Health12/21/202011/23/2023
InactiveProtective Life Insurance Company300638Agent - Life12/21/202011/23/2023
InactiveSBLI USA Life Insurance Company, Inc.980989Agent - Health12/14/202211/10/2023
ActiveSilverScript Insurance Company663526Agent - Health8/23/2019 
InactiveTime Insurance Company300683Agent - Health2/4/201312/20/2014
InactiveTime Insurance Company300683Agent - Life2/4/201312/20/2014
InactiveUnited Home Life Insurance Company300421Agent - Life4/15/201312/1/2014
InactiveUnited National Life Insurance Company844837Agent - Health5/20/20161/4/2017
InactiveUnited National Life Insurance Company844837Agent - Life5/20/20161/4/2017
InactiveUnited World Life Insurance Company300532Agent - Health8/7/20183/22/2022
InactiveUnited of Omaha Life Insurance Company300156Agent - Health11/24/202110/24/2022
InactiveUnited of Omaha Life Insurance Company300156Agent - Life11/24/202110/24/2022
ActiveUnitedHealthcare Insurance Company300946Agent - Health7/31/2013 
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health8/14/201812/21/2018
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health8/5/201912/22/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health8/14/201812/23/2021
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health7/31/20134/30/2018
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health8/14/2018 
ActiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health12/17/2019 
ActiveWellCare Prescription Insurance Inc.654329Agent - Health12/10/2018 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDesignated Agent Company Inc.681257Agent - Life10/25/20122/10/2025
InactiveDesignated Agent Company Inc.681257Agent - Health11/17/20172/10/2025

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