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DEPARTMENT OF INSURANCE
Affiliations
Name
Bush, Jerry Clyde
DOIID
865839
NAIC NPN
17478536
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Pending
Resident
Agent
Casualty
Pending
Resident
Agent
Property
Pending
Resident
Agent
Life
Pending
Resident
Agent
Health
* If a status Is
Pending, Pending Replacement
,Or the record displays
Affidavit On File
, click On them For more details.
Appointments with the following Insurers
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Baptist Health Plan, Inc.
300157
Agent - Health
9/25/2015
3/31/2019
Inactive
Erie Family Life Insurance Company
301400
Agent - Life
5/5/2015
7/30/2021
Inactive
Erie Insurance Company
300230
Agent - Casualty
5/5/2015
7/30/2021
Inactive
Erie Insurance Company
300230
Agent - Property
5/5/2015
7/30/2021
Inactive
Erie Insurance Company of New York
789916
Agent - Casualty
9/25/2015
7/30/2021
Inactive
Erie Insurance Company of New York
789916
Agent - Property
9/25/2015
7/30/2021
Inactive
Erie Insurance Exchange
300789
Agent - Casualty
5/5/2015
7/30/2021
Inactive
Erie Insurance Exchange
300789
Agent - Property
5/5/2015
7/30/2021
Inactive
Erie Insurance Property & Casualty Company
789942
Agent - Casualty
9/25/2015
7/30/2021
Inactive
Erie Insurance Property & Casualty Company
789942
Agent - Property
9/25/2015
7/30/2021
Inactive
Flagship City Insurance Company
789965
Agent - Casualty
9/25/2015
7/30/2021
Inactive
Flagship City Insurance Company
789965
Agent - Property
9/25/2015
7/30/2021
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
James H Moore And Son Holdings LLC
852564
Agent - Health
2/25/2016
3/31/2019
Inactive
James H Moore And Son Holdings LLC
852564
Agent - Life
2/25/2016
3/31/2020
Inactive
James H Moore And Son Holdings LLC
852564
Agent - Property
2/25/2016
3/31/2020
Inactive
James H Moore And Son Holdings LLC
852564
Agent - Casualty
2/25/2016
3/31/2020
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