DEPARTMENT OF INSURANCE

Affiliations

Name	Puckett, Jordan	DOIID	1148389	NAIC NPN	20008731

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Denied	Resident	Agent	Health
Inactive	Resident	Agent	Casualty	8/17/2021	3/1/2024
Inactive	Resident	Agent	Property	8/17/2021	3/1/2024
Inactive	Resident	Agent	Life	2/8/2022	3/1/2024
* 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	10/5/2021	4/21/2023
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	10/5/2021	4/21/2023
Inactive	Auto-Owners Insurance Company	301480	Agent - Casualty	8/19/2021	4/18/2023
Inactive	Auto-Owners Insurance Company	301480	Agent - Property	8/19/2021	4/18/2023
Inactive	Auto-Owners Life Insurance Company	301368	Agent - Life	4/6/2022	4/18/2023
Inactive	Banner Life Insurance Company	301696	Agent - Life	9/7/2022	3/1/2024
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	9/1/2021	4/21/2023
Inactive	Bristol West Insurance Company	301655	Agent - Property	9/1/2021	4/21/2023
Inactive	Celina Mutual Insurance Company (The)	301908	Agent - Casualty	9/2/2021	4/18/2023
Inactive	Celina Mutual Insurance Company (The)	301908	Agent - Property	9/2/2021	4/18/2023
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Life	11/15/2022	3/1/2024
Inactive	Farmers Mutual Hail Insurance Company of Iowa	300489	Agent - Casualty	1/18/2022	3/1/2024
Inactive	Farmers Mutual Hail Insurance Company of Iowa	300489	Agent - Property	1/18/2022	3/1/2024
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	9/1/2021	4/21/2023
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	9/1/2021	4/21/2023
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	1/3/2023	3/1/2024
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	12/6/2021	6/13/2023
Inactive	Ohio Security Insurance Company	300622	Agent - Property	12/6/2021	6/13/2023
Inactive	Owners Insurance Company	300796	Agent - Casualty	8/19/2021	4/18/2023
Inactive	Owners Insurance Company	300796	Agent - Property	8/19/2021	4/18/2023
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	6/7/2022	6/13/2023
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	6/7/2022	6/13/2023
Inactive	Westfield Insurance Company	301950	Agent - Casualty	9/1/2021	4/21/2023
Inactive	Westfield Insurance Company	301950	Agent - Property	9/1/2021	4/21/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ohio Valley Insurance, LLC	617593	Agent - Casualty	8/19/2021	6/8/2023
Inactive	Ohio Valley Insurance, LLC	617593	Agent - Property	8/19/2021	6/8/2023