DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Jackson, Thomas E	DOIID	372687	NAIC NPN	2854810

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Property	7/7/2022	7/31/2022
Inactive	Resident	Agent	Casualty	7/7/2022	7/31/2022
Inactive	Resident	Agent	General Lines	3/2/1999	4/16/1999
* 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	ACE American Insurance Company	300625	Agent - Casualty	3/3/2007	5/16/2022
Inactive	ACE American Insurance Company	300625	Agent - General Lines	3/10/1999	4/16/1999
Inactive	ACE American Insurance Company	300625	Agent - Property	3/3/2007	5/16/2022
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	1/8/2016	4/6/2022
Inactive	American Modern Home Insurance Company	300791	Agent - Property	1/8/2016	4/6/2022
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	1/8/2016	2/17/2017
Inactive	American Modern Select Insurance Company	581481	Agent - Property	1/8/2016	2/17/2017
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	3/6/2009	5/16/2022
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	3/6/2009	5/16/2022
Inactive	Indemnity Insurance Company of North America	301760	Agent - Casualty	3/3/2007	5/16/2022
Inactive	Indemnity Insurance Company of North America	301760	Agent - Property	3/3/2007	5/16/2022
Inactive	Insurance Company of North America	300226	Agent - Casualty	3/3/2007	5/16/2022
Inactive	Insurance Company of North America	300226	Agent - General Lines	3/2/1999	4/16/1999
Inactive	Insurance Company of North America	300226	Agent - Property	3/3/2007	5/16/2022
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	3/6/2009	12/16/2014
Inactive	Northern Insurance Company of New York	301317	Agent - Property	3/6/2009	12/16/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Troutman & Asso Inc	400114	Agent - Casualty	7/24/2007	5/16/2022
Inactive	Troutman & Asso Inc	400114	Agent - Property	8/2/2010	5/16/2022