DEPARTMENT OF INSURANCE

Affiliations

Name	Jackson Insurance Agency of Clinton Inc.	DOIID	399885	NAIC NPN	7222019

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	General Lines	8/1/1995	8/15/2000
Inactive	Resident	Agent	Casualty	8/15/2000	4/2/2003
Inactive	Resident	Agent	Property	8/15/2000	4/2/2003
* 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	American Alternative Insurance Corporation	301697	Agent - General Lines	5/28/1996	8/28/1997
Inactive	Countryway Insurance Company	300809	Agent - Casualty	8/15/2000	4/2/2003
Inactive	Countryway Insurance Company	300809	Agent - General Lines	9/19/1995	8/15/2000
Inactive	Countryway Insurance Company	300809	Agent - Property	8/15/2000	4/2/2003
Inactive	Falls Lake National Insurance Company	301796	Agent - Casualty	8/15/2000	4/2/2003
Inactive	Falls Lake National Insurance Company	301796	Agent - General Lines	8/8/1996	8/15/2000
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Casualty	8/15/2000	4/2/2003
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - General Lines	8/15/1996	8/15/2000
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Property	8/15/2000	4/2/2003
Inactive	Globe American Casualty Company	301033	Agent - General Lines	2/24/1998	5/22/2000
Inactive	Granite State Insurance Company	300818	Agent - Casualty	8/15/2000	4/2/2003
Inactive	Granite State Insurance Company	300818	Agent - General Lines	6/23/2000	8/15/2000
Inactive	Granite State Insurance Company	300818	Agent - Property	8/15/2000	4/2/2003
Inactive	GuideOne Elite Insurance Company	300490	Agent - Casualty	8/15/2000	4/2/2003
Inactive	GuideOne Elite Insurance Company	300490	Agent - General Lines	11/6/1999	8/15/2000
Inactive	GuideOne Elite Insurance Company	300490	Agent - Property	8/15/2000	4/2/2003
Inactive	GuideOne Insurance Company	301794	Agent - Casualty	8/15/2000	4/2/2003
Inactive	GuideOne Insurance Company	301794	Agent - General Lines	11/6/1999	8/15/2000
Inactive	GuideOne Insurance Company	301794	Agent - Property	8/15/2000	4/2/2003
Inactive	GuideOne Specialty Insurance Company	300278	Agent - Casualty	8/15/2000	4/2/2003
Inactive	GuideOne Specialty Insurance Company	300278	Agent - General Lines	11/6/1999	8/15/2000
Inactive	GuideOne Specialty Insurance Company	300278	Agent - Property	8/15/2000	4/2/2003
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	8/15/2000	4/2/2003
Inactive	Hartford Accident and Indemnity Company	301917	Agent - General Lines	12/27/1999	8/15/2000
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	8/15/2000	4/2/2003
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	8/15/2000	4/2/2003
Inactive	Hartford Casualty Insurance Company	301332	Agent - General Lines	12/27/1999	8/15/2000
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	8/15/2000	4/2/2003
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	8/15/2000	4/2/2003
Inactive	Hartford Fire Insurance Company	300628	Agent - General Lines	12/27/1999	8/15/2000
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	8/15/2000	4/2/2003
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	8/15/2000	4/2/2003
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - General Lines	12/27/1999	8/15/2000
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	8/15/2000	4/2/2003
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	8/15/2000	4/2/2003
Inactive	Hartford Underwriters Insurance Company	301064	Agent - General Lines	12/27/1999	8/15/2000
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	8/15/2000	4/2/2003
Inactive	Infinity Casualty Insurance Company	301280	Agent - Casualty	8/15/2000	4/2/2003
Inactive	Infinity Casualty Insurance Company	301280	Agent - General Lines	7/24/2000	8/15/2000
Inactive	Infinity Standard Insurance Company	301643	Agent - Casualty	8/15/2000	4/2/2003
Inactive	Infinity Standard Insurance Company	301643	Agent - General Lines	12/4/1996	8/15/2000
Inactive	Infinity Standard Insurance Company	301643	Agent - Property	8/15/2000	4/2/2003
Inactive	Ohio Farmers Insurance Company	301667	Agent - Casualty	8/15/2000	10/14/2002
Inactive	Ohio Farmers Insurance Company	301667	Agent - General Lines	8/1/1995	8/15/2000
Inactive	Ohio Farmers Insurance Company	301667	Agent - Property	8/15/2000	10/14/2002
Inactive	Omni Insurance Company	301545	Agent - General Lines	3/12/1996	3/31/2000
Inactive	PAFCO General Insurance Company	301645	Agent - Casualty	8/15/2000	4/2/2003
Inactive	PAFCO General Insurance Company	301645	Agent - General Lines	8/21/1995	8/15/2000
Inactive	PAFCO General Insurance Company	301645	Agent - Property	8/15/2000	4/2/2003
Inactive	Progressive Max Insurance Company	301034	Agent - Casualty	10/22/2001	3/3/2003
Inactive	Progressive Max Insurance Company	301034	Agent - Property	10/22/2001	3/3/2003
Inactive	Progressive Northwestern Insurance Company	300441	Agent - Casualty	10/12/2001	3/3/2003
Inactive	Progressive Northwestern Insurance Company	300441	Agent - Property	10/12/2001	3/3/2003
Inactive	Trumbull Insurance Company	300242	Agent - Casualty	8/15/2000	4/2/2003
Inactive	Trumbull Insurance Company	300242	Agent - General Lines	6/11/1998	8/15/2000
Inactive	Trumbull Insurance Company	300242	Agent - Property	8/15/2000	4/2/2003
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	8/15/2000	4/2/2003
Inactive	Twin City Fire Insurance Company	300721	Agent - General Lines	12/27/1999	8/15/2000
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	8/15/2000	4/2/2003
Inactive	Western Surety Company	300283	Agent - Casualty	8/15/2000	1/30/2003
Inactive	Western Surety Company	300283	Agent - General Lines	7/3/1996	8/15/2000
Inactive	Westfield Insurance Company	301950	Agent - Casualty	8/15/2000	10/14/2002
Inactive	Westfield Insurance Company	301950	Agent - General Lines	8/15/1995	8/15/2000
Inactive	Westfield Insurance Company	301950	Agent - Property	8/15/2000	10/14/2002
Inactive	Westfield National Insurance Company	301036	Agent - Casualty	8/15/2000	10/14/2002
Inactive	Westfield National Insurance Company	301036	Agent - General Lines	8/15/1995	8/15/2000
Inactive	Westfield National Insurance Company	301036	Agent - Property	8/15/2000	10/14/2002
Inactive	Windhaven National Insurance Company	300094	Agent - Casualty	8/15/2000	4/2/2003
Inactive	Windhaven National Insurance Company	300094	Agent - General Lines	8/8/1996	8/15/2000

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	King, B Jeanine	362972	Agent - Casualty	8/15/2000	4/2/2003
Inactive	King, B Jeanine	362972	Agent - General Lines	8/1/1995	8/15/2000
Inactive	King, B Jeanine	362972	Agent - Property	8/15/2000	4/2/2003
Inactive	King, Philip Dwayne	307510	Agent - Casualty	8/15/2000	4/2/2003
Inactive	King, Philip Dwayne	307510	Agent - General Lines	8/1/1995	8/15/2000
Inactive	King, Philip Dwayne	307510	Agent - Property	8/15/2000	4/2/2003
Inactive	Orlando, Annell W	359552	Agent - Casualty	8/15/2000	4/2/2003
Inactive	Orlando, Annell W	359552	Agent - General Lines	8/1/1995	8/15/2000
Inactive	Orlando, Annell W	359552	Agent - Property	8/15/2000	4/2/2003
Inactive	Weatherford, Jimmy Leach	383380	Agent - General Lines	8/1/1995	8/15/2000
Inactive	Weatherford, Mary Nell	380656	Agent - General Lines	8/1/1995	8/15/2000