DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Philibin, Jeffrey E	DOIID	516408	NAIC NPN	1746771

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	6/17/2010	12/31/2013
Inactive	Non Resident	Agent	Health	10/10/2000	12/31/2009
Inactive	Non Resident	Agent	Casualty	6/17/2010	12/31/2013
Inactive	Non Resident	Agent	Life	10/10/2000	12/31/2009
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	3/21/2003	3/23/2009
* 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	Fireman's Fund Insurance Company	301423	Agent - Casualty	7/18/2003	9/17/2009
Inactive	Fireman's Fund Insurance Company	301423	Agent - Property	7/18/2003	9/17/2009
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	10/10/2000	9/1/2004
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Property	10/10/2000	9/1/2004
Inactive	LM Insurance Corporation	301061	Agent - Casualty	10/10/2000	9/1/2004
Inactive	LM Insurance Corporation	301061	Agent - Property	10/10/2000	9/1/2004
Inactive	Liberty Insurance Corporation	300444	Agent - Casualty	10/10/2000	9/1/2004
Inactive	Liberty Insurance Corporation	300444	Agent - Property	10/10/2000	9/1/2004
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	10/10/2000	3/30/2009
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Property	10/10/2000	3/30/2009
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	10/10/2000	9/1/2004
Inactive	Liberty Mutual Insurance Company	301159	Agent - Property	10/10/2000	9/1/2004
Inactive	Lincoln Life Assurance Company of Boston	301915	Agent - Health	10/10/2000	9/1/2004
Inactive	Lincoln Life Assurance Company of Boston	301915	Agent - Life	10/10/2000	9/1/2004
Inactive	Starr Indemnity and Liability Company	301685	Agent - Casualty	12/21/2010	12/31/2013
Inactive	Starr Indemnity and Liability Company	301685	Agent - Property	12/21/2010	12/31/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Helmsman Ins Agency LLC	572054	Agent - Property	7/24/2003	9/17/2009
Inactive	Helmsman Ins Agency LLC	572054	Agent - Casualty	7/24/2003	9/17/2009
Denied	Helmsman Ins Agency LLC	572054	Agent - Life
Denied	Helmsman Ins Agency LLC	572054	Agent - Health
Inactive	Helmsman Ins Agency LLC	572054	Surplus Lines Broker - Not Applicable	10/23/2007	3/23/2009