DEPARTMENT OF INSURANCE

Affiliations

Name	Fern, Audrey M	DOIID	516830	NAIC NPN	1641701

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	10/18/2000	5/31/2025
Active	Non Resident	Agent	Property	10/18/2000	5/31/2025
* 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	03/15/2025	05/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	7/23/2014	11/14/2021
Inactive	American Modern Home Insurance Company	300791	Agent - Property	7/23/2014	11/14/2021
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	3/8/2019
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	3/8/2019
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	10/8/2016	9/27/2024
Inactive	Bristol West Insurance Company	301655	Agent - Property	10/8/2016	9/27/2024
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/3/2016	9/27/2024
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/3/2016	9/27/2024
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	6/3/2016	9/27/2024
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	6/3/2016	9/27/2024
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	7/12/2008	8/25/2014
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	7/12/2008	8/25/2014
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	7/12/2008	8/25/2014
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	7/12/2008	8/25/2014
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	4/19/2007	8/25/2014
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	4/19/2007	8/25/2014
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	12/7/2004	8/25/2014
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	12/7/2004	8/25/2014
Inactive	Property and Casualty Insurance Company of Hartford	301409	Agent - Casualty	4/23/2019	9/20/2020
Inactive	Property and Casualty Insurance Company of Hartford	301409	Agent - Property	4/23/2019	9/20/2020
Inactive	Trumbull Insurance Company	300242	Agent - Casualty	10/15/2011	9/20/2020
Inactive	Trumbull Insurance Company	300242	Agent - Property	10/15/2011	9/20/2020
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	11/24/2008	9/20/2020
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	11/24/2008	9/20/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Nutmeg Insurance Agency, Inc.	502156	Agent - Property	9/8/2014	9/6/2024
Inactive	Nutmeg Insurance Agency, Inc.	502156	Agent - Casualty	9/8/2014	9/6/2024