DEPARTMENT OF INSURANCE

Affiliations

Name	Haynes, Jeffrey J	DOIID	630079	NAIC NPN	444975

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	4/12/2006	5/31/2026
Active	Non Resident	Agent	Property	4/12/2006	5/31/2026
Denied	Resident	Agent	Health
Denied	Resident	Agent	Life
* 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	03/15/2026	05/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Employers Insurance Company of Wausau	301813	Agent - Casualty	2/9/2011
Active	Employers Insurance Company of Wausau	301813	Agent - Property	2/9/2011
Active	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	2/9/2011
Active	First Liberty Insurance Corporation (The)	301060	Agent - Property	2/9/2011
Active	LM Insurance Corporation	301061	Agent - Casualty	2/9/2011
Active	LM Insurance Corporation	301061	Agent - Property	2/9/2011
Active	Liberty Insurance Corporation	300444	Agent - Casualty	2/9/2011
Active	Liberty Insurance Corporation	300444	Agent - Property	2/9/2011
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	2/9/2011
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Property	2/9/2011
Active	Liberty Mutual Insurance Company	301159	Agent - Casualty	2/9/2011
Active	Liberty Mutual Insurance Company	301159	Agent - Property	2/9/2011
Active	National Interstate Insurance Company	301301	Agent - Casualty	4/26/2021
Active	National Interstate Insurance Company	301301	Agent - Property	4/26/2021
Active	Triumphe Casualty Company	839234	Agent - Casualty	4/26/2021
Active	Triumphe Casualty Company	839234	Agent - Property	4/26/2021
Active	Vanliner Insurance Company	301420	Agent - Casualty	4/26/2021
Active	Vanliner Insurance Company	301420	Agent - Property	4/26/2021
Inactive	Wausau Business Insurance Company	301476	Agent - Casualty	2/9/2011	3/31/2015
Inactive	Wausau Business Insurance Company	301476	Agent - Property	2/9/2011	3/31/2015
Inactive	Wausau Underwriters Insurance Company	301105	Agent - Casualty	2/9/2011	8/31/2015
Inactive	Wausau Underwriters Insurance Company	301105	Agent - Property	2/9/2011	8/31/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority
Denied	USI Ins Services Of Florida Inc	590895	Agent - Casualty
Denied	USI Ins Services Of Florida Inc	590895	Agent - Property
Denied	Usi Insurance Services LLC	669260	Agent - Casualty
Denied	Usi Insurance Services LLC	669260	Agent - Property