DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Lang, Jeffrey Francis	DOIID	1247137	NAIC NPN	2620067

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	12/15/2022		1/31/2026
Active	Non Resident	Agent	Casualty	12/15/2022		1/31/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	3/7/2023		1/31/2026
* 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
Active	Hartford Fire Insurance Company	300628	Agent - Casualty	11/2/2023
Active	Hartford Fire Insurance Company	300628	Agent - Property	11/2/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Venbrook Insurance Services	664193	Agent - Casualty	1/22/2024
Active	Venbrook Insurance Services	664193	Agent - Property	1/22/2024
Active	Venbrook Insurance Services	664193	Surplus Lines Broker - Not Applicable	6/22/2023