DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Gibson, Jason Eric	DOIID	1011750	NAIC NPN	17753524

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	9/26/2018	12/31/2019
Inactive	Non Resident	Agent	Property	9/26/2018	12/31/2019
* 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	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	7/10/2019	7/17/2019
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	7/10/2019	7/17/2019
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	10/15/2018	8/9/2019
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	10/15/2018	8/9/2019
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	10/15/2018	8/9/2019
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	10/15/2018	8/9/2019
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	10/9/2018	12/31/2019
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	10/9/2018	12/31/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mylo LLC	973654	Agent - Casualty	10/9/2018	7/9/2019
Inactive	Mylo LLC	973654	Agent - Property	10/9/2018	7/9/2019