DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Mortman, Jacqueline A	DOIID	349289	NAIC NPN	518752

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	8/15/2000	11/13/2013
Inactive	Non Resident	Agent	Property	8/15/2000	11/13/2013
Inactive	Non Resident	Agent	General Lines	6/30/1999	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	Carolina Casualty Insurance Company	300271	Agent - Casualty	3/16/2010	1/26/2012
Inactive	Carolina Casualty Insurance Company	300271	Agent - Property	3/16/2010	1/26/2012
Inactive	Midwest Employers Casualty Company	300124	Agent - Casualty	4/1/2009	1/26/2012
Inactive	Midwest Employers Casualty Company	300124	Agent - Property	4/1/2009	1/26/2012
Inactive	Specialty National Insurance Company	301931	Agent - Casualty	8/23/2001	5/31/2003
Inactive	Specialty National Insurance Company	301931	Agent - Property	8/23/2001	5/31/2003
Inactive	Star Insurance Company	301553	Agent - Casualty	8/15/2000	3/26/2002
Inactive	Star Insurance Company	301553	Agent - General Lines	6/30/1999	8/15/2000
Inactive	Star Insurance Company	301553	Agent - Property	8/15/2000	3/26/2002
Inactive	StarNet Insurance Company	502746	Agent - Casualty	5/19/2005	12/21/2010
Inactive	StarNet Insurance Company	502746	Agent - Property	5/19/2005	12/21/2010
Inactive	Westport Insurance Corporation	300448	Agent - Casualty	7/23/2003	12/5/2007
Inactive	Westport Insurance Corporation	300448	Agent - Property	7/23/2003	12/5/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Hub International Northeast Limited	594377	Agent - Property	4/8/2008	1/26/2012
Inactive	Hub International Northeast Limited	594377	Agent - Casualty	4/8/2008	1/26/2012
Inactive	J.M. Associates, LTD.	572147	Agent - Property	7/14/2003	4/8/2008
Inactive	J.M. Associates, LTD.	572147	Agent - Casualty	7/14/2003	4/8/2008