DEPARTMENT OF INSURANCE

Affiliations

Name	Jaconetti Lewis, Anne Michelle	DOIID	1234283	NAIC NPN	8103410

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	10/3/2022	7/31/2026
Active	Non Resident	Agent	Casualty	10/3/2022	7/31/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	10/3/2022	7/31/2026
* 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	05/15/2024	07/31/2024	06/11/2024	06/11/2024	Yes
Surplus Lines Broker	05/15/2024	07/31/2024	06/11/2024	06/11/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	AIG Assurance Company	300897	Agent - Casualty	2/25/2024
Active	AIG Assurance Company	300897	Agent - Property	2/25/2024
Active	AIG Property Casualty Company	300621	Agent - Casualty	2/25/2024
Active	AIG Property Casualty Company	300621	Agent - Property	2/25/2024
Active	AIU Insurance Company	300729	Agent - Casualty	2/25/2024
Active	AIU Insurance Company	300729	Agent - Property	2/25/2024
Active	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	6/8/2023
Active	American Guarantee and Liability Insurance Company	301216	Agent - Property	6/8/2023
Active	American Home Assurance Company	300246	Agent - Casualty	2/25/2024
Active	American Home Assurance Company	300246	Agent - Property	2/25/2024
Active	American Zurich Insurance Company	300592	Agent - Casualty	6/8/2023
Active	American Zurich Insurance Company	300592	Agent - Property	6/8/2023
Active	Commerce and Industry Insurance Company	300881	Agent - Casualty	2/25/2024
Active	Commerce and Industry Insurance Company	300881	Agent - Property	2/25/2024
Active	Granite State Insurance Company	300818	Agent - Casualty	2/25/2024
Active	Granite State Insurance Company	300818	Agent - Property	2/25/2024
Active	HDI Global Insurance Company	676678	Agent - Casualty	7/3/2024
Active	HDI Global Insurance Company	676678	Agent - Property	7/3/2024
Active	Illinois National Insurance Company	301367	Agent - Casualty	2/25/2024
Active	Illinois National Insurance Company	301367	Agent - Property	2/25/2024
Active	Insurance Company of the State of Pennsylvania	300807	Agent - Casualty	2/25/2024
Active	Insurance Company of the State of Pennsylvania	300807	Agent - Property	2/25/2024
Active	Mitsui Sumitomo Insurance Company of America	301070	Agent - Casualty	4/25/2024
Active	Mitsui Sumitomo Insurance Company of America	301070	Agent - Property	4/25/2024
Active	Mitsui Sumitomo Insurance USA Inc.	301681	Agent - Casualty	4/25/2024
Active	Mitsui Sumitomo Insurance USA Inc.	301681	Agent - Property	4/25/2024
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	2/25/2024
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	2/25/2024
Active	New Hampshire Insurance Company	301670	Agent - Casualty	2/25/2024
Active	New Hampshire Insurance Company	301670	Agent - Property	2/25/2024
Active	Zurich American Insurance Company	301121	Agent - Casualty	6/8/2023
Active	Zurich American Insurance Company	301121	Agent - Property	6/8/2023
Active	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	6/8/2023
Active	Zurich American Insurance Company of Illinois	301805	Agent - Property	6/8/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	ABD Insurance And Financial Services, Inc.	794351	Agent - Casualty	12/1/2023
Active	ABD Insurance And Financial Services, Inc.	794351	Agent - Property	12/1/2023
Active	ABD Insurance And Financial Services, Inc.	794351	Surplus Lines Broker - Not Applicable	12/1/2023