DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Cruz, Jacklyn J	DOIID	1113576	NAIC NPN	19717302

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	12/13/2020		8/31/2026
Active	Non Resident	Agent	Property	12/13/2020		8/31/2026
* 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	06/15/2024	08/31/2024	06/26/2024	06/26/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Nationwide Mutual Insurance Company	301749	Agent - Casualty	12/17/2020
Active	Nationwide Mutual Insurance Company	301749	Agent - Property	12/17/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Nationwide Sales Solutions Inc	631821	Agent - Casualty	12/17/2020
Active	Nationwide Sales Solutions Inc	631821	Agent - Property	12/17/2020