DEPARTMENT OF INSURANCE

Affiliations

Name	Jercinovich, Pamela Gail	DOIID	375773	NAIC NPN	5936200

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	8/15/2000		7/31/2026
Active	Non Resident	Agent	Property	8/15/2000		7/31/2026
Inactive	Non Resident	Agent	General Lines	10/8/1992	8/15/2000
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	05/15/2024	07/31/2024	06/11/2024	06/11/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Allstate Indemnity Company	300778	Agent - Casualty	5/8/2020
Active	Allstate Indemnity Company	300778	Agent - Property	5/8/2020
Active	Allstate Insurance Company	300773	Agent - Casualty	5/8/2020
Active	Allstate Insurance Company	300773	Agent - Property	5/8/2020
Active	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	5/8/2020
Active	Allstate Property and Casualty Insurance Company	300593	Agent - Property	5/8/2020
Active	Allstate Vehicle & Property Insurance Company	301429	Agent - Casualty	5/8/2020
Active	Allstate Vehicle & Property Insurance Company	301429	Agent - Property	5/8/2020
Active	Auto-Owners Insurance Company	301480	Agent - Casualty	3/7/2018
Active	Auto-Owners Insurance Company	301480	Agent - Property	3/7/2018
Active	Bristol West Insurance Company	301655	Agent - Casualty	7/29/2020
Active	Bristol West Insurance Company	301655	Agent - Property	7/29/2020
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	7/29/2020
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	7/29/2020
Inactive	Hallmark National Insurance Company	300494	Agent - Casualty	7/7/2008	1/22/2018
Inactive	Hallmark National Insurance Company	300494	Agent - Property	7/7/2008	1/22/2018
Inactive	Meridian Citizens Mutual Insurance Company	300935	Agent - Casualty	7/7/2008	6/30/2014
Inactive	Meridian Citizens Mutual Insurance Company	300935	Agent - Property	7/7/2008	6/30/2014
Inactive	Meridian Security Insurance Company	300423	Agent - Casualty	7/7/2008	12/16/2021
Inactive	Meridian Security Insurance Company	300423	Agent - Property	7/7/2008	12/16/2021
Active	Mount Vernon Fire Insurance Company	301397	Agent - Casualty	5/28/2014
Active	Mount Vernon Fire Insurance Company	301397	Agent - Property	5/28/2014
Inactive	Nationwide Agribusiness Insurance Company	301008	Agent - Casualty	6/28/2013	3/12/2014
Inactive	Nationwide Agribusiness Insurance Company	301008	Agent - Property	6/28/2013	3/12/2014
Active	Owners Insurance Company	300796	Agent - Casualty	3/7/2018
Active	Owners Insurance Company	300796	Agent - Property	3/7/2018
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	12/22/2021	3/29/2024
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	12/22/2021	3/29/2024
Active	State Auto Property & Casualty Insurance Company	301953	Agent - Casualty	7/7/2008
Active	State Auto Property & Casualty Insurance Company	301953	Agent - Property	7/7/2008
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	7/7/2008	12/16/2021
Inactive	State Automobile Mutual Insurance Company	301824	Agent - General Lines	10/8/1992	8/15/2000
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	7/7/2008	12/16/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Simmons First Insurance Services Of TN LLC	657774	Agent - Property	9/8/2011	1/24/2019
Inactive	Simmons First Insurance Services Of TN LLC	657774	Agent - Casualty	9/8/2011	1/24/2019
Active	Sunstar Ins Group LLC	798919	Agent - Property	9/26/2017
Active	Sunstar Ins Group LLC	798919	Agent - Casualty	9/26/2017