DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Wilkerson, Jeffrey Scott	DOIID	1327219	NAIC NPN	18681888

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	3/1/2024		6/30/2027
Active	Non Resident	Agent	Casualty	3/1/2024		6/30/2027
Active	Non Resident	Surplus Lines Broker	Not Applicable	4/3/2024		6/30/2027
* 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	04/15/2025	06/30/2025	04/07/2025	04/07/2025	Yes
Surplus Lines Broker	04/15/2025	06/30/2025	04/07/2025	04/07/2025	Yes

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	9/13/2024
Active	Nationwide Mutual Insurance Company	301749	Agent - Property	9/13/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	NBS Insurance Agency Inc	515576	Agent - Casualty	9/13/2024
Active	NBS Insurance Agency Inc	515576	Agent - Property	9/13/2024
Active	NBS Insurance Agency Inc	515576	Surplus Lines Broker - Not Applicable	9/13/2024