DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Williams, Jennifer Lynn	DOIID	1068557	NAIC NPN	19376713

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Casualty	6/28/2022		1/31/2025
Active	Resident	Agent	Property	6/28/2022		1/31/2025
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	11/15/2024	01/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	7/11/2022	7/24/2024
Inactive	Bristol West Insurance Company	301655	Agent - Property	7/11/2022	7/24/2024
Inactive	CSAA Fire & Casualty Insurance Company	606666	Agent - Casualty	7/8/2022	7/25/2024
Inactive	CSAA Fire & Casualty Insurance Company	606666	Agent - Property	7/8/2022	7/25/2024
Inactive	CSAA General Insurance Company	606675	Agent - Casualty	7/8/2022	7/25/2024
Inactive	CSAA General Insurance Company	606675	Agent - Property	7/8/2022	7/25/2024
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	8/5/2022	8/1/2024
Inactive	Encompass Indemnity Company	546376	Agent - Property	8/5/2022	8/1/2024
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	7/11/2022	7/24/2024
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	7/11/2022	7/24/2024
Active	Grange Indemnity Insurance Company	300793	Agent - Casualty	7/20/2022
Active	Grange Indemnity Insurance Company	300793	Agent - Property	7/20/2022
Active	Grange Insurance Company	300234	Agent - Casualty	7/20/2022
Active	Grange Insurance Company	300234	Agent - Property	7/20/2022
Active	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	7/20/2022
Active	Grange Property & Casualty Insurance Company	601680	Agent - Property	7/20/2022
Active	Trustgard Insurance Company	300104	Agent - Casualty	7/20/2022
Active	Trustgard Insurance Company	300104	Agent - Property	7/20/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aca Club Insurance Agency, Inc.	1033550	Agent - Casualty	7/8/2022
Active	Aca Club Insurance Agency, Inc.	1033550	Agent - Property	7/8/2022