DEPARTMENT OF INSURANCE

Affiliations

Name	Gutzeit, Jerry Wayne	DOIID	369050	NAIC NPN	1890622

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	7/30/1985	10/31/2018
Inactive	Resident	Agent	Casualty	8/15/2000	10/31/2018
Inactive	Resident	Agent	General Lines	7/30/1985	8/15/2000
Inactive	Resident	Agent	Property	8/15/2000	10/31/2018
Inactive	Resident	Agent	Variable Life and Variable Annuities	9/4/2002	1/22/2013
Inactive	Resident	Agent	Health	7/30/1985	10/31/2018
Inactive	Resident	Independent Adjuster	Property & Casualty	7/12/2016	10/31/2018
* 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	Allstate Indemnity Company	300778	Agent - Casualty	8/15/2000	9/25/2007
Inactive	Allstate Indemnity Company	300778	Agent - General Lines	7/30/1985	8/15/2000
Inactive	Allstate Indemnity Company	300778	Agent - Property	8/15/2000	9/25/2007
Inactive	Allstate Insurance Company	300773	Agent - Casualty	8/15/2000	9/25/2007
Inactive	Allstate Insurance Company	300773	Agent - General Lines	7/30/1985	8/15/2000
Inactive	Allstate Insurance Company	300773	Agent - Property	8/15/2000	9/25/2007
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	8/12/2005	9/25/2007
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Property	8/12/2005	9/25/2007
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	6/29/2000	4/4/2007
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	6/29/2000	4/4/2007
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/30/2014	10/21/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/30/2014	10/21/2016
Inactive	Auto-Owners Insurance Company	301480	Agent - Casualty	1/19/2009	1/25/2012
Inactive	Auto-Owners Insurance Company	301480	Agent - Property	1/19/2009	1/25/2012
Inactive	Auto-Owners Life Insurance Company	301368	Agent - Health	1/19/2009	1/25/2012
Inactive	Auto-Owners Life Insurance Company	301368	Agent - Life	1/19/2009	1/25/2012
Inactive	Combined Insurance Company of America	301472	Agent - Health	6/4/2007	10/9/2007
Inactive	Combined Insurance Company of America	301472	Agent - Life	6/4/2007	10/9/2007
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	1/17/2011	8/15/2011
Inactive	Dairyland Insurance Company	301370	Agent - Property	1/17/2011	8/15/2011
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	4/22/2009	11/8/2012
Inactive	Encompass Indemnity Company	546376	Agent - Property	4/22/2009	11/8/2012
Inactive	Encompass Insurance Company of America	556578	Agent - Casualty	4/22/2009	11/8/2012
Inactive	Encompass Insurance Company of America	556578	Agent - Property	4/22/2009	11/8/2012
Inactive	Encova Life Insurance Company	301818	Agent - Life	1/7/2009	3/22/2012
Inactive	Everlake Life Insurance Company	300873	Agent - Health	7/30/1985	9/25/2007
Inactive	Everlake Life Insurance Company	300873	Agent - Life	7/30/1985	9/25/2007
Inactive	Everlake Life Insurance Company	300873	Agent - Variable Life and Variable Annuities	9/5/2002	9/25/2007
Inactive	Farmers Casualty Insurance Company	301616	Agent - Casualty	11/1/2011	9/4/2014
Inactive	Farmers Casualty Insurance Company	301616	Agent - Property	11/1/2011	9/4/2014
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Casualty	11/1/2011	9/4/2014
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Property	11/1/2011	9/4/2014
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	11/1/2011	9/4/2014
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	11/1/2011	9/4/2014
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	2/4/2011	10/4/2011
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	2/4/2011	10/4/2011
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	12/29/2008	3/27/2012
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	12/29/2008	3/27/2012
Inactive	Grange Insurance Company	300234	Agent - Casualty	12/29/2008	3/27/2012
Inactive	Grange Insurance Company	300234	Agent - Property	12/29/2008	3/27/2012
Inactive	Grange Life Insurance Company	300128	Agent - Health	12/29/2008	3/27/2012
Inactive	Grange Life Insurance Company	300128	Agent - Life	12/29/2008	3/27/2012
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	12/29/2008	3/27/2012
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	12/29/2008	3/27/2012
Inactive	Kentucky National Insurance Company	301625	Agent - Casualty	6/11/2009	5/13/2013
Inactive	Kentucky National Insurance Company	301625	Agent - Property	6/11/2009	5/13/2013
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	12/23/1997	9/25/2007
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	12/23/1997	9/25/2007
Inactive	Lincoln Benefit Life Company	301110	Agent - Variable Life and Variable Annuities	9/4/2002	9/25/2007
Inactive	MICO Insurance Company	301664	Agent - Casualty	1/19/2009	2/28/2011
Inactive	MICO Insurance Company	301664	Agent - Property	1/19/2009	2/28/2011
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	3/6/2012	10/30/2014
Inactive	Middlesex Insurance Company	590568	Agent - Casualty	11/19/2010	8/15/2011
Inactive	Middlesex Insurance Company	590568	Agent - Property	11/19/2010	8/15/2011
Inactive	Motorists Mutual Insurance Company	300963	Agent - Casualty	1/19/2009	2/28/2011
Inactive	Motorists Mutual Insurance Company	300963	Agent - Property	1/19/2009	2/28/2011
Inactive	Owners Insurance Company	300796	Agent - Casualty	1/19/2009	1/25/2012
Inactive	Owners Insurance Company	300796	Agent - Property	1/19/2009	1/25/2012
Inactive	Pacific Specialty Insurance Company	301846	Agent - Casualty	8/20/2001	2/22/2010
Inactive	Pacific Specialty Insurance Company	301846	Agent - Property	8/20/2001	2/22/2010
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	12/29/2008	6/8/2012
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	12/29/2008	6/8/2012
Inactive	Sentry Insurance Company	300222	Agent - Casualty	11/19/2010	8/15/2011
Inactive	Sentry Insurance Company	300222	Agent - Property	11/19/2010	8/15/2011
Inactive	Sentry Life Insurance Company	301461	Agent - Health	11/19/2010	8/15/2011
Inactive	Sentry Life Insurance Company	301461	Agent - Life	11/19/2010	8/15/2011
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	12/29/2008	3/27/2012
Inactive	Trustgard Insurance Company	300104	Agent - Property	12/29/2008	3/27/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CMI P&C, Inc.	600128	Agent - Life	12/29/2008	2/15/2011
Inactive	CMI P&C, Inc.	600128	Agent - Health	12/29/2008	2/15/2011
Inactive	CMI P&C, Inc.	600128	Agent - Property	12/22/2008	2/15/2011
Inactive	CMI P&C, Inc.	600128	Agent - Casualty	12/22/2008	2/15/2011
Inactive	Gutzeit Insurance Agency, LLC	517424	Agent - Life	1/5/2001	3/31/2007
Inactive	Gutzeit Insurance Agency, LLC	517424	Agent - Health	1/5/2001	3/31/2007
Inactive	Gutzeit Insurance Agency, LLC	517424	Agent - Property	8/15/2000	3/31/2007
Inactive	Gutzeit Insurance Agency, LLC	517424	Agent - Casualty	8/15/2000	3/31/2007