DEPARTMENT OF INSURANCE

Affiliations

Name	Hibbs, Jason Michael	DOIID	313298	NAIC NPN	7161761

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Property	8/15/2000		7/31/2025
Active	Resident	Agent	Life	6/26/2001		7/31/2025
Active	Resident	Agent	Variable Life and Variable Annuities	9/11/2002		7/31/2025
Active	Resident	Agent	Health	6/26/2001		7/31/2025
Active	Resident	Agent	Casualty	8/15/2000		7/31/2025
Inactive	Resident	Agent	General Lines	8/18/1999	8/15/2000
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AIG Assurance Company	300897	Agent - Casualty	4/13/2005	9/29/2010
Inactive	AIG Assurance Company	300897	Agent - Property	4/13/2005	9/29/2010
Inactive	Aegis Security Insurance Company	300492	Agent - Casualty	6/11/2013	11/4/2022
Inactive	Aegis Security Insurance Company	300492	Agent - Property	6/11/2013	11/4/2022
Inactive	AmTrust Insurance Company	300179	Agent - Casualty	8/15/2000	10/13/2009
Inactive	AmTrust Insurance Company	300179	Agent - General Lines	6/5/2000	8/15/2000
Inactive	AmTrust Insurance Company	300179	Agent - Property	8/15/2000	10/13/2009
Inactive	American Commerce Insurance Company	301665	Agent - Casualty	10/4/2016	3/31/2018
Inactive	American Commerce Insurance Company	301665	Agent - Property	10/4/2016	3/31/2018
Active	American Economy Insurance Company	300315	Agent - Casualty	10/6/2010
Active	American Economy Insurance Company	300315	Agent - Property	10/6/2010
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	1/9/2013	11/20/2013
Active	American Fire and Casualty Company	300567	Agent - Casualty	10/6/2010
Active	American Fire and Casualty Company	300567	Agent - Property	10/6/2010
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	5/5/2015	11/14/2021
Inactive	American Modern Home Insurance Company	300791	Agent - Property	5/5/2015	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	5/5/2015	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	5/5/2015	11/14/2021
Inactive	American Select Insurance Company	301229	Agent - Casualty	5/27/2003	4/28/2008
Inactive	American Select Insurance Company	301229	Agent - Property	5/27/2003	4/28/2008
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	5/5/2015	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	5/5/2015	11/14/2021
Inactive	American States Insurance Company	301230	Agent - Casualty	10/6/2010	10/15/2021
Inactive	American States Insurance Company	301230	Agent - Property	10/6/2010	10/15/2021
Inactive	Assurance Company of America	300432	Agent - Casualty	8/15/2002	10/18/2010
Inactive	Assurance Company of America	300432	Agent - Property	8/15/2002	10/18/2010
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Casualty	7/13/2010	5/31/2023
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Property	7/13/2010	5/31/2023
Inactive	Banner Life Insurance Company	301696	Agent - Life	2/3/2004	2/26/2007
Active	Brighthouse Life Insurance Company	301829	Agent - Health	11/14/2014
Active	Brighthouse Life Insurance Company	301829	Agent - Life	11/14/2014
Active	Bristol West Insurance Company	301655	Agent - Casualty	12/20/2006
Active	Bristol West Insurance Company	301655	Agent - Property	12/20/2006
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	10/6/2010	4/26/2024
Inactive	Consolidated Insurance Company	300943	Agent - Property	10/6/2010	4/26/2024
Active	Erie Family Life Insurance Company	301400	Agent - Health	7/2/2019
Active	Erie Family Life Insurance Company	301400	Agent - Life	4/1/2017
Active	Erie Insurance Company	300230	Agent - Casualty	4/1/2017
Active	Erie Insurance Company	300230	Agent - Property	4/1/2017
Active	Erie Insurance Company of New York	789916	Agent - Casualty	4/1/2017
Active	Erie Insurance Company of New York	789916	Agent - Property	4/1/2017
Active	Erie Insurance Exchange	300789	Agent - Casualty	4/1/2017
Active	Erie Insurance Exchange	300789	Agent - Property	4/1/2017
Active	Erie Insurance Property & Casualty Company	789942	Agent - Casualty	4/1/2017
Active	Erie Insurance Property & Casualty Company	789942	Agent - Property	4/1/2017
Inactive	Farmers Casualty Insurance Company	301616	Agent - Casualty	8/28/2007	12/30/2013
Inactive	Farmers Casualty Insurance Company	301616	Agent - Property	8/28/2007	12/30/2013
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Casualty	8/28/2007	12/30/2013
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Property	8/28/2007	12/30/2013
Inactive	Farmers Insurance Exchange	300336	Agent - Casualty	10/17/2005	8/21/2012
Inactive	Farmers Insurance Exchange	300336	Agent - Property	10/17/2005	8/21/2012
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	8/28/2007
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Property	8/28/2007
Inactive	Fidelity and Guaranty Insurance Company	301009	Agent - Casualty	8/15/2000	5/29/2001
Inactive	Fidelity and Guaranty Insurance Company	301009	Agent - General Lines	11/29/1999	8/15/2000
Inactive	Fidelity and Guaranty Insurance Company	301009	Agent - Property	8/15/2000	5/29/2001
Inactive	Fidelity and Guaranty Insurance Underwriters Inc.	300559	Agent - Casualty	8/15/2000	5/29/2001
Inactive	Fidelity and Guaranty Insurance Underwriters Inc.	300559	Agent - General Lines	11/29/1999	8/15/2000
Inactive	Fidelity and Guaranty Insurance Underwriters Inc.	300559	Agent - Property	8/15/2000	5/29/2001
Inactive	First National Insurance Company of America	301690	Agent - Casualty	10/6/2010	10/15/2021
Inactive	First National Insurance Company of America	301690	Agent - Property	10/6/2010	10/15/2021
Active	Flagship City Insurance Company	789965	Agent - Casualty	4/1/2017
Active	Flagship City Insurance Company	789965	Agent - Property	4/1/2017
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	4/25/2011
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	4/25/2011
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	2/18/2013	8/29/2018
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	2/18/2013	8/29/2018
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	2/18/2013	8/29/2018
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	2/18/2013	8/29/2018
Inactive	Fortitude Life Insurance & Annuity Company	301503	Agent - Life	10/15/2002	10/10/2011
Inactive	Fortitude Life Insurance & Annuity Company	301503	Agent - Variable Life and Variable Annuities	10/15/2002	10/10/2011
Inactive	General American Life Insurance Company	300280	Agent - Health	2/7/2006	12/21/2009
Inactive	General American Life Insurance Company	300280	Agent - Life	2/7/2006	12/21/2009
Inactive	General Insurance Company of America	300261	Agent - Casualty	10/6/2010	10/15/2021
Inactive	General Insurance Company of America	300261	Agent - Property	10/6/2010	10/15/2021
Inactive	Glatfelter Insurance Company	301640	Agent - Casualty	8/15/2002	11/30/2007
Inactive	Glatfelter Insurance Company	301640	Agent - Property	8/15/2002	11/30/2007
Inactive	Golden Rule Insurance Company	301943	Agent - Health	11/6/2012	12/13/2016
Inactive	Golden Rule Insurance Company	301943	Agent - Life	11/6/2012	12/14/2016
Inactive	Granite State Insurance Company	300818	Agent - Casualty	1/12/2007	9/29/2010
Inactive	Granite State Insurance Company	300818	Agent - Property	1/12/2007	9/29/2010
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	11/3/2019	7/21/2023
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	11/3/2019	7/21/2023
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	11/8/2004	11/11/2009
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	11/8/2004	11/11/2009
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	11/8/2004	11/11/2009
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	11/8/2004	11/11/2009
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	11/8/2004	11/11/2009
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	11/8/2004	11/11/2009
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	4/19/2012	12/17/2014
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	4/19/2012	12/17/2014
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	1/12/2007	9/29/2010
Inactive	Illinois National Insurance Company	301367	Agent - Property	1/12/2007	9/29/2010
Inactive	Indiana Insurance Company	301909	Agent - Casualty	10/6/2010	2/3/2023
Inactive	Indiana Insurance Company	301909	Agent - Property	10/6/2010	2/3/2023
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	12/18/2002	7/2/2007
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	12/18/2002	7/2/2007
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Variable Life and Variable Annuities	12/18/2002	7/2/2007
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	12/18/2002	4/2/2007
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	12/18/2002	4/2/2007
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Variable Life and Variable Annuities	12/18/2002	4/2/2007
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	11/13/2006	7/23/2012
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	11/13/2006	7/23/2012
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Variable Life and Variable Annuities	11/13/2006	7/23/2012
Inactive	Maryland Casualty Company	301719	Agent - Casualty	8/15/2002	10/18/2010
Inactive	Maryland Casualty Company	301719	Agent - Property	8/15/2002	10/18/2010
Inactive	Meridian Mutual Insurance Company	301303	Agent - Casualty	8/15/2000	6/1/2001
Inactive	Meridian Mutual Insurance Company	301303	Agent - General Lines	8/18/1999	8/15/2000
Inactive	Meridian Mutual Insurance Company	301303	Agent - Property	8/15/2000	6/1/2001
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Health	2/7/2006	11/14/2014
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	2/7/2006	11/14/2014
Inactive	Metropolitan General Insurance Company	300709	Agent - Casualty	8/28/2007	12/30/2013
Inactive	Metropolitan General Insurance Company	300709	Agent - Property	8/28/2007	12/30/2013
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	2/5/2007	11/26/2009
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	2/5/2007	11/26/2009
Active	Milbank Insurance Company	925185	Agent - Casualty	10/12/2020
Active	Milbank Insurance Company	925185	Agent - Property	10/12/2020
Inactive	Milford Casualty Insurance Company	301460	Agent - Casualty	2/10/2009	10/13/2009
Inactive	Milford Casualty Insurance Company	301460	Agent - Property	2/10/2009	10/13/2009
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	6/16/2012	6/24/2013
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	10/6/2010	4/26/2024
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	10/6/2010	4/26/2024
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	8/15/2002	10/18/2010
Inactive	Northern Insurance Company of New York	301317	Agent - Property	8/15/2002	10/18/2010
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	10/6/2010
Active	Ohio Casualty Insurance Company	301492	Agent - Property	10/6/2010
Inactive	Ohio Farmers Insurance Company	301667	Agent - Casualty	5/27/2003	4/28/2008
Inactive	Ohio Farmers Insurance Company	301667	Agent - Property	5/27/2003	4/28/2008
Active	Ohio Security Insurance Company	300622	Agent - Casualty	10/6/2010
Active	Ohio Security Insurance Company	300622	Agent - Property	10/6/2010
Inactive	Omaha Insurance Company	751908	Agent - Health	1/27/2015	8/8/2018
Inactive	Omni Indemnity Company	301456	Agent - Casualty	11/8/2004	10/8/2009
Inactive	Omni Indemnity Company	301456	Agent - Property	11/8/2004	10/8/2009
Inactive	Omni Insurance Company	301545	Agent - Casualty	11/8/2004	10/27/2009
Inactive	Omni Insurance Company	301545	Agent - Property	11/8/2004	10/27/2009
Inactive	Pacific Life Insurance Company	301848	Agent - Life	10/10/2002	9/22/2020
Inactive	Pacific Life Insurance Company	301848	Agent - Variable Life and Variable Annuities	10/10/2002	9/22/2020
Active	Peerless Indemnity Insurance Company	571682	Agent - Casualty	10/6/2010
Active	Peerless Indemnity Insurance Company	571682	Agent - Property	10/6/2010
Active	Peerless Insurance Company	301910	Agent - Casualty	10/6/2010
Active	Peerless Insurance Company	301910	Agent - Property	10/6/2010
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Casualty	9/11/2007	1/25/2011
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Property	9/11/2007	1/25/2011
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	6/26/2001	9/16/2004
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	6/26/2001	9/16/2004
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	10/6/2010
Active	SAFECO Insurance Company of America	300159	Agent - Property	10/6/2010
Active	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	10/6/2010
Active	SAFECO Insurance Company of Illinois	301350	Agent - Property	10/6/2010
Inactive	Security National Insurance Company	301151	Agent - Casualty	8/15/2000	10/13/2009
Inactive	Security National Insurance Company	301151	Agent - General Lines	6/5/2000	8/15/2000
Inactive	Security National Insurance Company	301151	Agent - Property	8/15/2000	10/13/2009
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	9/11/2008	12/17/2010
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	9/11/2008	12/17/2010
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	8/15/2000	5/29/2001
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - General Lines	11/29/1999	8/15/2000
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	8/15/2000	5/29/2001
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Casualty	8/15/2000	5/29/2001
Inactive	St. Paul Guardian Insurance Company	301372	Agent - General Lines	11/29/1999	8/15/2000
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Property	8/15/2000	5/29/2001
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Casualty	8/15/2000	5/29/2001
Inactive	St. Paul Mercury Insurance Company	300783	Agent - General Lines	11/29/1999	8/15/2000
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Property	8/15/2000	5/29/2001
Inactive	St. Paul Protective Insurance Company	301215	Agent - Casualty	8/15/2000	5/29/2001
Inactive	St. Paul Protective Insurance Company	301215	Agent - General Lines	11/29/1999	8/15/2000
Inactive	St. Paul Protective Insurance Company	301215	Agent - Property	8/15/2000	5/29/2001
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	6/1/2001	3/3/2004
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	6/1/2001	3/3/2004
Inactive	Symetra Life Insurance Company	301691	Agent - Health	8/4/2010	4/22/2019
Inactive	Symetra Life Insurance Company	301691	Agent - Life	8/4/2010	4/22/2019
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Health	5/8/2008	10/29/2011
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Life	5/8/2008	10/29/2011
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Variable Life and Variable Annuities	5/8/2008	10/29/2011
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	12/20/2002	4/19/2011
Inactive	Transamerica Life Insurance Company	300571	Agent - Variable Life and Variable Annuities	12/20/2002	4/19/2011
Inactive	Transamerica Life Insurance and Annuity Company	300148	Agent - Life	12/20/2002	6/21/2005
Inactive	Transamerica Life Insurance and Annuity Company	300148	Agent - Variable Life and Variable Annuities	12/20/2002	6/21/2005
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	12/20/2002	11/27/2007
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Variable Life and Variable Annuities	12/20/2002	11/27/2007
Inactive	Trinity Universal Insurance Company	300911	Agent - Casualty	8/15/2000	6/9/2009
Inactive	Trinity Universal Insurance Company	300911	Agent - General Lines	6/5/2000	8/15/2000
Inactive	Trinity Universal Insurance Company	300911	Agent - Property	8/15/2000	6/9/2009
Inactive	Truck Insurance Exchange	300335	Agent - Casualty	5/29/2007	8/21/2012
Inactive	Truck Insurance Exchange	300335	Agent - Property	5/29/2007	8/21/2012
Inactive	Trumbull Insurance Company	300242	Agent - Casualty	11/8/2004	11/5/2008
Inactive	Trumbull Insurance Company	300242	Agent - Property	11/8/2004	11/5/2008
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	11/8/2004	11/11/2009
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	11/8/2004	11/11/2009
Inactive	Union Security Insurance Company	301844	Agent - Health	11/21/2001	1/9/2015
Inactive	Union Security Insurance Company	301844	Agent - Life	11/21/2001	1/9/2015
Inactive	United States Fidelity and Guaranty Company	301449	Agent - Casualty	8/15/2000	5/29/2001
Inactive	United States Fidelity and Guaranty Company	301449	Agent - General Lines	11/29/1999	8/15/2000
Inactive	United States Fidelity and Guaranty Company	301449	Agent - Property	8/15/2000	5/29/2001
Active	United World Life Insurance Company	300532	Agent - Health	9/7/2023
Active	United World Life Insurance Company	300532	Agent - Life	9/7/2023
Active	United World Life Insurance Company	300532	Agent - Variable Life and Variable Annuities	9/7/2023
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	5/8/2009	6/24/2013
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	5/8/2009	6/24/2013
Inactive	United of Omaha Life Insurance Company	300156	Agent - Variable Life and Variable Annuities	5/8/2009	6/24/2013
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	11/12/2015	11/4/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	11/12/2015	11/4/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/18/2015	2/14/2017
Inactive	Unitrin Auto and Home Insurance Company	301538	Agent - Casualty	2/7/2005	7/28/2017
Inactive	Unitrin Auto and Home Insurance Company	301538	Agent - Property	2/7/2005	7/28/2017
Inactive	Unitrin Preferred Insurance Company	502869	Agent - Casualty	2/7/2005	12/2/2013
Inactive	Unitrin Preferred Insurance Company	502869	Agent - Property	2/7/2005	12/2/2013
Active	West American Insurance Company	301112	Agent - Casualty	10/6/2010
Active	West American Insurance Company	301112	Agent - Property	10/6/2010
Inactive	West Coast Life Insurance Company	301607	Agent - Life	11/3/2003	9/8/2009
Inactive	Westfield Insurance Company	301950	Agent - Casualty	5/27/2003	4/28/2008
Inactive	Westfield Insurance Company	301950	Agent - Property	5/27/2003	4/28/2008
Inactive	Westfield National Insurance Company	301036	Agent - Casualty	5/27/2003	4/28/2008
Inactive	Westfield National Insurance Company	301036	Agent - Property	5/27/2003	4/28/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Designated Agent Company Inc.	681257	Agent - Life	12/13/2013
Active	Designated Agent Company Inc.	681257	Agent - Health	12/13/2013
Inactive	Hibbs Insurance Agency Inc.	401113	Agent - General Lines	8/27/1999	8/15/2000
Active	Hibbs Insurance Agency Inc.	401113	Agent - Life	1/18/2005
Active	Hibbs Insurance Agency Inc.	401113	Agent - Health	1/18/2005
Active	Hibbs Insurance Agency Inc.	401113	Agent - Property	8/15/2000
Active	Hibbs Insurance Agency Inc.	401113	Agent - Casualty	8/15/2000