DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Jackson, Carly	DOIID	1060086	NAIC NPN	18180474

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	10/9/2019	3/31/2022
Inactive	Non Resident	Agent	Casualty	10/9/2019	3/31/2022
* 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	Homesite Insurance Company	301139	Agent - Casualty	10/20/2019	6/12/2020
Inactive	Homesite Insurance Company	301139	Agent - Property	10/20/2019	6/12/2020
Inactive	Nationwide General Insurance Company	300603	Agent - Casualty	12/18/2019	6/1/2020
Inactive	Nationwide General Insurance Company	300603	Agent - Property	12/18/2019	6/1/2020
Inactive	Nationwide Insurance Company of America	300333	Agent - Casualty	11/18/2019	6/1/2020
Inactive	Nationwide Insurance Company of America	300333	Agent - Property	11/18/2019	6/1/2020
Inactive	Progressive Direct Insurance Company	301379	Agent - Casualty	10/15/2019	5/18/2020
Inactive	Progressive Direct Insurance Company	301379	Agent - Property	10/15/2019	5/18/2020
Inactive	QBE Insurance Corporation	300515	Agent - Casualty	10/22/2019	1/11/2021
Inactive	QBE Insurance Corporation	300515	Agent - Property	10/22/2019	1/11/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Casualty	10/17/2019	1/11/2021
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Property	10/17/2019	1/11/2021