DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Jackson, Nicole	DOIID	1092157	NAIC NPN	19472485

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	8/4/2020	4/30/2023
Inactive	Non Resident	Agent	Casualty	8/4/2020	4/30/2023
* 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	Wellfleet Insurance Company	300542	Agent - Casualty	8/21/2020	12/4/2020
Inactive	Wellfleet New York Insurance Company	300245	Agent - Casualty	8/21/2020	12/4/2020
Inactive	Wellfleet New York Insurance Company	300245	Agent - Property	8/21/2020	12/4/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	biBERK Insurance Services, Inc.	909097	Agent - Casualty	8/21/2020	12/4/2020
Inactive	biBERK Insurance Services, Inc.	909097	Agent - Property	8/21/2020	12/4/2020