DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Jacobson, Eric R	DOIID	707741	NAIC NPN	2069523

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	6/19/2009		11/30/2024
Active	Non Resident	Agent	Health	6/19/2009		11/30/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	09/15/2024	11/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	2/21/2018
Active	Aetna Life Insurance Company	301140	Agent - Health	2/21/2018
Active	Aetna Life Insurance Company	301140	Agent - Life	2/21/2018
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	6/19/2011
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	6/19/2011
Active	Anthem Life Insurance Company	301209	Agent - Health	6/9/2018
Active	Anthem Life Insurance Company	301209	Agent - Life	6/9/2018
Active	Dental Care Plus Inc.	301495	Agent - Health	5/28/2014
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	6/26/2014	12/10/2020
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	6/26/2014	12/10/2020
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	7/13/2016
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	7/13/2016
Active	Metropolitan Life Insurance Company	301948	Agent - Health	5/14/2014
Active	Metropolitan Life Insurance Company	301948	Agent - Life	5/14/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Designated Agent Company Inc.	681257	Agent - Health	6/11/2018
Active	Designated Agent Company Inc.	681257	Agent - Life	6/11/2018
Active	Willis Towers Watson Northeast Inc	537673	Agent - Health	7/1/2011
Active	Willis Towers Watson Northeast Inc	537673	Agent - Life	7/1/2011