DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Dillman, Jay J	DOIID	1061942	NAIC NPN	19279367

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	10/21/2019	10/31/2021
Inactive	Non Resident	Agent	Casualty	10/21/2019	10/31/2021
* 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	2/26/2020	6/3/2020
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	2/26/2020	6/3/2020
Inactive	United Financial Casualty Company	301886	Agent - Casualty	11/4/2019	6/22/2020
Inactive	United Financial Casualty Company	301886	Agent - Property	11/4/2019	6/22/2020

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	11/6/2019	5/21/2020
Inactive	Mylo LLC	973654	Agent - Property	11/6/2019	5/21/2020