DEPARTMENT OF INSURANCE

Affiliations

Name	Lacey, Jacob Paul	DOIID	858030	NAIC NPN	14248521

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	8/30/2022	2/29/2024
Inactive	Non Resident	Agent	Personal Lines	10/24/2014	2/29/2016
Inactive	Non Resident	Agent	Health	8/30/2022	2/29/2024
* 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
Inactive	ACE American Insurance Company	300625	Agent - Health	9/25/2017	7/10/2018
Inactive	Accendo Insurance Company	300312	Agent - Life	6/10/2020	2/28/2022
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	9/22/2022	2/29/2024
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	3/28/2020	2/28/2022
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/24/2020	2/28/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/22/2022	2/29/2024
Inactive	American Continental Insurance Company	643130	Agent - Life	3/28/2020	8/11/2021
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	2/13/2017	12/29/2017
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/28/2020	2/28/2022
Inactive	Esurance Insurance Company	301072	Agent - Personal Lines	11/3/2014	6/9/2015
Inactive	Esurance Property and Casualty Insurance Company	613279	Agent - Personal Lines	11/3/2014	6/9/2015
Inactive	Federal Insurance Company	301144	Agent - Health	9/25/2017	7/10/2018
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	6/22/2018	11/7/2018
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	6/22/2018	11/7/2018
Inactive	Golden Rule Insurance Company	301943	Agent - Health	11/6/2018	3/2/2022
Inactive	Golden Rule Insurance Company	301943	Agent - Life	11/6/2018	3/2/2022
Inactive	Lumico Life Insurance Company	300354	Agent - Life	2/27/2019	2/28/2022
Inactive	SilverScript Insurance Company	663526	Agent - Health	9/22/2022	2/29/2024
Inactive	Unified Life Insurance Company	543169	Agent - Health	5/22/2019	10/21/2020
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	3/11/2020	4/8/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	3/11/2020	4/8/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Esurance Ins Services Inc	709770	Agent - Personal Lines	11/3/2014	6/9/2015
Inactive	Ushealth Advisors Llc	713288	Agent - Life	6/22/2018	11/7/2018
Inactive	Ushealth Advisors Llc	713288	Agent - Health	6/22/2018	11/7/2018