DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Buckner, Jeffery Jay	DOIID	1184929	NAIC NPN	8155433

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	1/26/2022	12/31/2023
Inactive	Non Resident	Agent	Casualty	1/26/2022	12/31/2023
* 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	American Modern Home Insurance Company	300791	Agent - Casualty	2/14/2022	6/29/2022
Inactive	American Modern Home Insurance Company	300791	Agent - Property	2/14/2022	6/29/2022
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	2/8/2022	6/29/2022
Inactive	Bristol West Insurance Company	301655	Agent - Property	2/8/2022	6/29/2022
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	2/8/2022	6/29/2022
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	2/8/2022	6/29/2022
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	2/7/2022	8/2/2022
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	2/7/2022	8/2/2022
Inactive	Grange Insurance Company	300234	Agent - Casualty	2/7/2022	8/2/2022
Inactive	Grange Insurance Company	300234	Agent - Property	2/7/2022	8/2/2022
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	2/7/2022	8/2/2022
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	2/7/2022	8/2/2022
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	4/11/2022	10/24/2022
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	4/11/2022	10/24/2022
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	2/7/2022	8/2/2022
Inactive	Trustgard Insurance Company	300104	Agent - Property	2/7/2022	8/2/2022
Inactive	United Financial Casualty Company	301886	Agent - Casualty	4/11/2022	10/24/2022
Inactive	United Financial Casualty Company	301886	Agent - Property	4/11/2022	10/24/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Quantum Assurance International Inc	1054052	Agent - Casualty	2/7/2022	10/11/2022
Inactive	Quantum Assurance International Inc	1054052	Agent - Property	2/7/2022	10/11/2022