DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Black, Jamie Lea	DOIID	1190471	NAIC NPN	19219489

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	7/21/2022		1/31/2025
Active	Non Resident	Agent	Property	2/28/2022		1/31/2025
Active	Non Resident	Agent	Casualty	2/28/2022		1/31/2025
* 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	11/15/2024	01/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Strategic Insurance Corp	883540	Agent - Casualty	5/24/2022	2/6/2024
Inactive	American Strategic Insurance Corp	883540	Agent - Property	5/24/2022	2/6/2024
Inactive	Branch Insurance Exchange	1143306	Agent - Casualty	3/23/2022	1/10/2024
Inactive	Branch Insurance Exchange	1143306	Agent - Property	3/23/2022	1/10/2024
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	3/18/2023	1/30/2024
Inactive	Bristol West Insurance Company	301655	Agent - Property	3/18/2023	1/30/2024
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	3/18/2023	1/30/2024
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	3/18/2023	1/30/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Branch Financial Inc	1120010	Agent - Casualty	6/14/2022	2/2/2024
Inactive	Branch Financial Inc	1120010	Agent - Property	6/14/2022	2/2/2024