DEPARTMENT OF INSURANCE
Affiliations
NameSiemer, Jacob RaymondDOIID928548NAIC NPN17712653
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentHealth9/10/2016 10/31/2026
ActiveResidentAgentLife2/8/2018 10/31/2026
* 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 - Life8/4/2021 
ActiveAetna Health Inc. (PA)660717Agent - Health2/12/2018 
ActiveAetna Health and Life Insurance Company300523Agent - Health3/16/2018 
ActiveAetna Health of Ohio Inc.1065035Agent - Health7/28/2020 
ActiveAetna Life Insurance Company301140Agent - Health2/12/2018 
ActiveAetna Life Insurance Company301140Agent - Life2/12/2018 
InactiveAmerican Continental Insurance Company643130Agent - Life3/16/20188/11/2021
ActiveAmeritas Life Insurance Corporation300126Agent - Health7/12/2020 
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health9/15/201610/11/2017
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health9/25/202112/19/2024
ActiveAnthem Insurance Companies, Inc.300941Agent - Health9/25/2021 
InactiveAnthem Life Insurance Company301209Agent - Health6/27/20184/15/2025
InactiveAnthem Life Insurance Company301209Agent - Life6/27/20184/15/2025
InactiveArcadian Health Plan, Inc.728196Agent - Health7/24/201812/13/2022
ActiveCIGNA Health & Life Insurance Company301783Agent - Health1/30/2023 
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/21/2022 
ActiveCareSource Kentucky Co.838179Agent - Health11/1/2019 
InactiveCompBenefits Insurance Company301864Agent - Health9/28/202112/13/2022
ActiveCompcare Health Services Insurance Corporation948751Agent - Health9/25/2021 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health3/16/2018 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life8/4/2021 
InactiveDental Concern Inc. (The)301641Agent - Health10/16/202312/12/2024
ActiveDevoted Health Insurance Company of Kentucky, Inc.1306593Agent - Health9/3/2024 
InactiveFidelity Security Life Insurance Company300466Agent - Health4/9/202012/15/2022
InactiveFidelity Security Life Insurance Company300466Agent - Life4/9/202012/15/2022
ActiveFirst Health Life & Health Insurance Company301735Agent - Health2/12/2018 
ActiveGolden Rule Insurance Company301943Agent - Health2/21/2018 
ActiveGolden Rule Insurance Company301943Agent - Life2/21/2018 
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health7/24/201812/13/2022
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health6/7/202312/12/2024
InactiveHumana Health Plan, Inc.300142Agent - Health7/24/201812/10/2018
ActiveHumana Insurance Company301104Agent - Health3/13/2023 
InactiveHumana Insurance Company301104Agent - Life7/10/201812/13/2022
InactiveHumana Medical Plan, Inc.801568Agent - Health7/24/201812/12/2024
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health12/4/202312/12/2024
ActiveMolina Healthcare of Kentucky, Inc.1035856Agent - Health8/20/2021 
ActiveNational Health Insurance Company300554Agent - Health10/18/2017 
ActiveSilverScript Insurance Company663526Agent - Health11/1/2019 
ActiveStandard Insurance Company300185Agent - Health12/31/2024 
ActiveStandard Insurance Company300185Agent - Life12/31/2024 
InactiveTime Insurance Company300683Agent - Health10/18/201711/22/2019
InactiveTime Insurance Company300683Agent - Life2/14/201811/22/2019
ActiveUnitedHealthcare Insurance Company300946Agent - Health2/27/2018 
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health2/27/201812/21/2018
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health8/6/201912/22/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health7/15/201812/23/2021
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health2/27/2018 
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health10/20/20194/8/2021
ActiveWellCare Health Plans of Kentucky, Inc.838592Agent - Health8/6/2021 
ActiveWellCare Prescription Insurance Inc.654329Agent - Health5/25/2024 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveARC Benefit Solutions Inc1003380Agent - Health7/25/2019 
ActiveARC Benefit Solutions Inc1003380Agent - Life7/25/2019 
ActiveDental Choice Agency Inc.398085Agent - Health3/4/2023 
ActiveDesignated Agent Company Inc.681257Agent - Health6/27/2018 
ActiveDesignated Agent Company Inc.681257Agent - Life6/27/2018 

© Commonwealth of Kentucky. All rights reserved.