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.

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
Active	Bristol West Insurance Company	301655	Agent - Casualty	10/8/2016
Active	Bristol West Insurance Company	301655	Agent - Property	10/8/2016
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/3/2016
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/3/2016
Active	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	6/3/2016
Active	Foremost Property and Casualty Insurance Company	300871	Agent - Property	6/3/2016
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
Active	Nutmeg Insurance Agency, Inc.	502156	Agent - Property	9/8/2014
Active	Nutmeg Insurance Agency, Inc.	502156	Agent - Casualty	9/8/2014