DEPARTMENT OF INSURANCE

Agent Licensing - Continuing Education Information

Name	Siemer, Jacob Raymond	DOIID	928548	NAIC NPN	17712653

If a course you have completed is not listed below, please contact your CE Provider to validate that you have completed it properly, and it has been sent to the Kentucky Department of Insurance (DOI). All CE Courses received by DOI are posted on the web site within (3) working days. IT IS YOUR RESPONSIBILITY TO MONITOR AND VERIFY ALL CE COURSES HAVE BEEN PROPERLY FILED WITH DOI. Failure to do so may result in license expiration.

UPDATE FOR KENTUCKY RESIDENT LICENSEES AND NON-RESIDENT ADJUSTERS DESIGNATING KENTUCKY AS THEIR HOME STATE:

IF YOU ARE NEWLY LICENSED, compliance period begins after you are licensed for one full year, then you are subject to renewal based on your birth month and birth year. Example: John Doe – DOB is 4/12/1960, Licensed on 4/30/2017. Licensed from April 2017 to April 2018, birth month is April, and birth year is even-numbered year. Therefore, first license renewal (and CE) is due on 4/30/2018. Then compliance period will be due 4/30 of every even-numbered year.
Each compliance period, you must complete –

Minimum of 24 hours total continuing education credit, up to twelve (12) excess hours will be carried over to the next compliance period as 'general' hours.
Three (3) of those hours in course concentration of 'Ethics' for Agents, Independent Adjusters, and Public Adjusters,

There is no longer a 'classroom' requirement, so your courses may be completed by self-study, correspondence, or classroom.
REMINDER - Continuing Education is only HALF of your License Renewal Requirement – be sure to complete the license renewal through eServices by answering three (3) background questions, reporting any applicable background issues to DOI, and pay any applicable fees.
Agents - License renewal fees are only charged when you have no active insurer appointments. You must be appointed in Kentucky to sell, solicit and negotiate insurance for each insurer. If renewed within the 60-days following the renewal date, a penalty fee of $40 is applied for resident agents, or $50 for non-resident agents.
Adjusters’ license renewal fee is $50. If paid within the 60-days following the renewal date, a penalty fee of $50 is applied.

Agent CE Compliance Date: 10/31/2026

CE Compliance Date	Ethics Hours	Ethics Complete	LOA Hours	LOA Complete	Class Complete	Corr Hours	Total CE Hours	Compliant This Period
10/31/2028	0	No	0	Yes	N/A	0	0	No
10/31/2026	0	No	2	Yes	N/A	2	2	No
10/31/2024	3	Yes	21	Yes	N/A	24	24	Yes
10/31/2022	3	Yes	21	Yes	N/A	24	24	Yes
10/31/2020	3	Yes	21	Yes	N/A	24	24	Yes

Course #	Course Concentration	KY Provider Name	Completion Date	Method of Instruction	Credit Hours	Compliance Date
State-BasedMarketplaceCertification,RegistrationRe - C80455	Life and Health	Kentucky Health Benefit Exchange	9/23/2025	Correspondence	2	10/31/2026
Introduction to Life Insurance - C59842	Life	WebCE, Inc	10/19/2024	Correspondence	9	10/31/2024
Healthcare Options: HSA''s, FSA''s,HDHPs,QSEHRAs - C94406	Health	WebCE, Inc	9/19/2024	Correspondence	4	10/31/2024
Ethics and Seniors:Understanding the Mature Market - C13648	Ethics	WebCE, Inc	9/19/2024	Correspondence	3	10/31/2024
2025 Medicare Advantage & Part D Plan Training - C26931	Life and Health	America's Health Insurance Plan (AHIP)	7/24/2024	Correspondence	6	10/31/2024
State-BasedMarketplaceCertification,RegistrationRe - C80455	Life and Health	Kentucky Health Benefit Exchange	9/7/2023	Correspondence	2	10/31/2024
Insurance Fraud - C06381	Life, Health, Property & Casualty	WebCE, Inc	10/18/2022	Correspondence	6	10/31/2022
Health and Accident Insurance - C59847	Life and Health	WebCE, Inc	10/18/2022	Correspondence	6	10/31/2022
Developing a Client- Centered Code - C93837	Ethics	WebCE, Inc	10/12/2022	Correspondence	3	10/31/2022
Today''s Medicare Supplement Policies - C06276	Life and Health	WebCE, Inc	10/12/2022	Correspondence	4	10/31/2022
State Based Marketplace Certification/Registration - C18396	Health	Kentucky Health Benefit Exchange	9/13/2021	Correspondence	5	10/31/2022