DEPARTMENT OF INSURANCE

Affiliations

Name	Green, Jeffrey S	DOIID	301984	NAIC NPN	2320786

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	8/15/2000	3/13/2019
Inactive	Non Resident	Agent	Casualty	8/15/2000	3/13/2019
Inactive	Non Resident	Agent	General Lines	5/6/1999	8/15/2000
* 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
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	10/8/2016	2/23/2018
Inactive	Bristol West Insurance Company	301655	Agent - Property	10/8/2016	2/23/2018
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/3/2016	2/23/2018
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/3/2016	2/23/2018
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	6/3/2016	2/23/2018
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	6/3/2016	2/23/2018
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	12/26/2001	4/12/2013
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	12/26/2001	4/12/2013
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	8/15/2000	4/12/2013
Inactive	Hartford Fire Insurance Company	300628	Agent - General Lines	5/6/1999	8/15/2000
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	8/15/2000	4/12/2013
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	4/22/2013	8/22/2014
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	4/22/2013	8/22/2014
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	4/22/2013	8/22/2014
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	4/22/2013	8/22/2014
Inactive	Property and Casualty Insurance Company of Hartford	301409	Agent - Casualty	4/22/2013	8/22/2014
Inactive	Property and Casualty Insurance Company of Hartford	301409	Agent - Property	4/22/2013	8/22/2014
Inactive	Trumbull Insurance Company	300242	Agent - Casualty	4/22/2013	12/14/2018
Inactive	Trumbull Insurance Company	300242	Agent - Property	4/22/2013	12/14/2018
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	4/22/2013	12/14/2018
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	4/22/2013	12/14/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Nutmeg Insurance Agency, Inc.	502156	Agent - Property	9/23/2016	4/30/2018
Inactive	Nutmeg Insurance Agency, Inc.	502156	Agent - Casualty	9/23/2016	4/30/2018