black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

DAVID JACOBSEN

PRODUCER NON-RESIDENT

License Number:
PRN294585
Status:
First Licensure:
09/27/2017
Cancel Date:
None

Mailing:
PHOENIX, AZ 85087
Phone:
+1 (602) 374-1348
Fax:
+1 (610) 362-8515
Email:
david.jacobsen@usi.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 09/27/2017

Agency

Name Issue Date License Number Expiration Date Cancel Date
USI INS SERVICES LLC
07/25/2022 AGN147905

Employer

Name Issue Date License Number Expiration Date Cancel Date
METROPOLITAN LIFE INSURANCE COMPANY
09/29/2017 LHF380 07/21/2022

Authority

Description Issue Date Termination Date Status
HEALTH 09/27/2017 Active
LIFE 09/27/2017 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
8547854

Other Addresses

Address Type
2375 E CAMELBACK RD STE 740
PHOENIX, AZ 85016-3424
Office

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: 10/25/2025 05:38:09 PM