DEPARTMENT OF INSURANCE
Affiliations
NameTrimm, Jerry MasonDOIID350684NAIC NPN7191745
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAdjusterIndependent5/27/20037/1/2010 
ActiveResidentAgentProperty9/6/2016 8/31/2026
ActiveResidentAgentCasualty9/6/2016 8/31/2026
InactiveResidentApprentice AdjusterNot Applicable2/21/20035/27/2003 
InactiveResidentStaff AdjusterProperty & Casualty7/1/20108/11/2016 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent06/15/202408/31/202406/17/202406/17/2024Yes
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveBristol West Insurance Company301655Agent - Casualty9/21/2016 
ActiveBristol West Insurance Company301655Agent - Property9/21/2016 
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty9/21/201612/20/2023
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property9/21/201612/20/2023
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveKentucky Farm Bureau Mutual Insurance Company300570Adjuster - Independent1/27/20047/1/2010
InactiveKentucky Farm Bureau Mutual Insurance Company300570Staff Adjuster - Property & Casualty7/1/20103/7/2016
ActivePurchase Area Insurance, LLC928073Agent - Casualty9/21/2016 
ActivePurchase Area Insurance, LLC928073Agent - Property9/21/2016 
Sponsored By
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveFisher, Michael Douglas 333946Apprentice Adjuster - Not Applicable2/21/20035/27/2003

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