black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

JACOB WALCOTT

ADJUSTER NON-RESIDENT

License Number:
ADN352116
Status:
First Licensure:
04/02/2020
Cancel Date:
None
Renewal Date:
01/01/2026

Mailing:
NASHVILLE, TN 37203
Phone:
+1 (615) 762-1443
Fax:
+1 (615) 762-1649
Email:
licensing@asurion.com

History

License Type Start Date End Date
ADJUSTER NON-RESIDENT 04/02/2020 01/01/2026

Agency

Name Issue Date License Number Expiration Date Cancel Date
ASURION INSURANCE SERVICES INC
08/05/2021 AFN205455
ASURION PROTECTION SERVICES LLC
08/06/2021 AFN206553

Authority

Description Issue Date Termination Date Status Additional Information
LIMITED TO HOME STATE 04/02/2020 Active
Designated State:
Arkansas

License/Disciplinary Action

None.

PRODUCER NON-RESIDENT

License Number:
PRN304514
Status:
First Licensure:
03/06/2018
Cancel Date:
None

Mailing:
NASHVILLE, TN 37203
Phone:
+1 (615) 762-1443
Fax:
+1 (615) 762-1649
Email:
licensing@asurion.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 03/06/2018

Agency

Name Issue Date License Number Expiration Date Cancel Date
ASURION INSURANCE SERVICES INC
05/24/2019 AGN35488
ASURION PROTECTION SERVICES LLC
03/12/2018 AGN82112

Employer

Name Issue Date License Number Expiration Date Cancel Date
ALLIANZ GLOBAL RISKS US INSURANCE COMPANY
12/20/2019 PCF780
CONTINENTAL CASUALTY COMPANY
06/28/2018 PCF420
LIBERTY INSURANCE UNDERWRITERS INC
04/17/2018 PCF175807
LIBERTY MUTUAL INSURANCE COMPANY
04/17/2018 PCF331

Authority

Description Issue Date Termination Date Status
CASUALTY 03/06/2018 Active
PROPERTY 03/06/2018 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
18593989

Other Addresses

Address Type
2823 E MAIN ST
RUSSELLVILLE, AR 72802-9662
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: 06/22/2025 08:33:29 AM