black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

ROBERT DAVID JACOBS

PRODUCER NON-RESIDENT

License Number:
PRN88899
Status:
First Licensure:
09/04/2002
Cancel Date:
None

Mailing:
BRAINTREE, MA 02184
Phone:
+1 (781) 356-0717
Fax:
+1 (781) 356-7365
Email:
edaigle@baystatebenefits.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 09/04/2002

Agency

Name Issue Date License Number Expiration Date Cancel Date
BAYSTATE BENEFIT SERVICES INC
09/20/2002 AGN89407

Employer

Name Issue Date License Number Expiration Date Cancel Date
ALL SAVERS INSURANCE COMPANY
01/04/2024 LHF233900
CANADA LIFE ASSURANCE COMPANY-THE
11/06/2003 LHF939 06/07/2005
HUMANA INSURANCE COMPANY
12/11/2009 LHF980 09/22/2012
HUMANA INSURANCE COMPANY
01/22/2016 LHF980 12/23/2016
HUMANADENTAL INSURANCE COMPANY
05/26/2011 LHF173873 09/22/2012
HUMANADENTAL INSURANCE COMPANY
01/22/2016 LHF173873 12/23/2016
JEFFERSON PILOT FINANCIAL INSURANCE COMPANY
12/01/2004 LHF933 07/02/2007
LINCOLN NATIONAL LIFE INSURANCE COMPANY-THE
06/29/2007 LHF619
NATIONAL GUARDIAN LIFE INSURANCE COMPANY
04/30/2021 LHF84860
UNITEDHEALTHCARE INSURANCE COMPANY
01/04/2024 LHF700
UNITEDHEALTHCARE OF NEW ENGLAND, INC.
01/04/2024 HMF393375

Authority

Description Issue Date Termination Date Status
HEALTH 09/04/2002 Active
LIFE 09/04/2002 Active

Responsible For

Name License Number
BAYSTATE BENEFIT SERVICES INC AGN89407

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
1014219

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 05/21/2025 11:00:38 PM