DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Fisher, Jerry Dirk	DOIID	1213993	NAIC NPN	7670258

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	6/29/2022		9/30/2024
Active	Non Resident	Agent	Casualty	6/29/2022		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

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	7/22/2022
Active	Nationwide Mutual Insurance Company	301749	Agent - Property	7/22/2022
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	11/10/2022
Active	Progressive Casualty Insurance Company	300696	Agent - Property	11/10/2022

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	7/28/2022
Active	Nationwide Sales Solutions Inc	631821	Agent - Property	7/28/2022