DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Hohlbein, Jeffrey Michael	DOIID	1127540	NAIC NPN	19845962

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	4/1/2021		9/30/2024
Active	Non Resident	Agent	Property	4/1/2021		9/30/2024
Active	Non Resident	Surplus Lines Broker	Not Applicable	4/1/2021		9/30/2024
* 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	07/15/2024	09/30/2024
Surplus Lines Broker	07/15/2024	09/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	AXIS Insurance Company	301290	Agent - Casualty	11/1/2021
Active	AXIS Insurance Company	301290	Agent - Property	11/1/2021
Active	American Casualty Company of Reading, Pennsylvania	300956	Agent - Casualty	1/10/2024
Active	American Casualty Company of Reading, Pennsylvania	300956	Agent - Property	1/10/2024
Active	Continental Casualty Company	301019	Agent - Casualty	12/19/2023
Active	Continental Casualty Company	301019	Agent - Property	12/19/2023
Active	Merchants Bonding Company (Mutual)	300170	Agent - Casualty	6/10/2022
Active	North River Insurance Company (The)	301739	Agent - Casualty	6/1/2022
Active	North River Insurance Company (The)	301739	Agent - Property	6/1/2022
Active	Ohio Security Insurance Company	300622	Agent - Casualty	3/24/2023
Active	Ohio Security Insurance Company	300622	Agent - Property	3/24/2023
Active	Starr Indemnity and Liability Company	301685	Agent - Casualty	7/28/2021
Active	Starr Indemnity and Liability Company	301685	Agent - Property	7/28/2021
Active	United States Fire Insurance Company	582240	Agent - Casualty	6/1/2022
Active	United States Fire Insurance Company	582240	Agent - Property	6/1/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Builders & TradesmenNULLs Insurance Services, Inc.	713412	Agent - Casualty	2/16/2024
Active	Builders & TradesmenNULLs Insurance Services, Inc.	713412	Agent - Property	2/16/2024
Active	Builders & TradesmenNULLs Insurance Services, Inc.	713412	Surplus Lines Broker - Not Applicable	2/16/2024