DEPARTMENT OF INSURANCE

Affiliations

Name	Fowler, Jeffrey	DOIID	532937	NAIC NPN	2080879

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	1/6/2016	8/31/2020
Inactive	Non Resident	Agent	Casualty	1/6/2016	8/31/2020
* 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	21st Century North America Insurance Company	300884	Agent - Casualty	12/6/2010	8/26/2013
Inactive	21st Century North America Insurance Company	300884	Agent - Property	12/6/2010	8/26/2013
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	1/20/2016	2/12/2016
Inactive	Dairyland Insurance Company	301370	Agent - Property	1/20/2016	2/12/2016
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	7/18/2008	2/12/2009
Inactive	Encompass Indemnity Company	546376	Agent - Property	7/18/2008	2/12/2009
Inactive	Esurance Insurance Company	301072	Agent - Casualty	7/9/2008	10/28/2010
Inactive	Esurance Insurance Company	301072	Agent - Property	7/9/2008	10/28/2010
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	7/16/2008	12/7/2010
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Property	7/16/2008	12/7/2010
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/10/2019	4/1/2020
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/10/2019	4/1/2020
Inactive	Homesite Insurance Company	301139	Agent - Casualty	4/20/2018	6/12/2020
Inactive	Homesite Insurance Company	301139	Agent - Property	4/20/2018	6/12/2020
Inactive	LM General Insurance Company	300133	Agent - Casualty	3/19/2010	12/7/2010
Inactive	LM General Insurance Company	300133	Agent - Property	3/19/2010	12/7/2010
Inactive	LM Insurance Corporation	301061	Agent - Casualty	7/16/2008	12/7/2010
Inactive	LM Insurance Corporation	301061	Agent - Property	7/16/2008	12/7/2010
Inactive	Liberty Insurance Corporation	300444	Agent - Casualty	7/16/2008	12/7/2010
Inactive	Liberty Insurance Corporation	300444	Agent - Property	7/16/2008	12/7/2010
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	7/16/2008	12/7/2010
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Property	7/16/2008	12/7/2010
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	7/16/2008	12/7/2010
Inactive	Liberty Mutual Insurance Company	301159	Agent - Property	7/16/2008	12/7/2010
Inactive	National General Insurance Company	300152	Agent - Casualty	1/12/2016	2/8/2016
Inactive	National General Insurance Company	300152	Agent - Property	1/12/2016	2/8/2016
Inactive	National Interstate Insurance Company	301301	Agent - Casualty	8/26/2004	4/12/2006
Inactive	National Interstate Insurance Company	301301	Agent - Property	8/26/2004	4/12/2006
Inactive	Nationwide General Insurance Company	300603	Agent - Casualty	12/18/2019	4/8/2020
Inactive	Nationwide General Insurance Company	300603	Agent - Property	12/18/2019	4/8/2020
Inactive	Nationwide Insurance Company of America	300333	Agent - Casualty	11/18/2019	4/8/2020
Inactive	Nationwide Insurance Company of America	300333	Agent - Property	11/18/2019	4/8/2020
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	2/25/2016	4/4/2016
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	2/25/2016	4/4/2016
Inactive	Progressive Direct Insurance Company	301379	Agent - Casualty	3/13/2018	3/9/2020
Inactive	Progressive Direct Insurance Company	301379	Agent - Property	3/13/2018	3/9/2020
Inactive	Progressive Max Insurance Company	301034	Agent - Casualty	1/26/2004	6/21/2004
Inactive	Progressive Max Insurance Company	301034	Agent - Property	1/26/2004	6/21/2004
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	1/26/2004	6/21/2004
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	1/26/2004	6/21/2004
Inactive	Progressive Northwestern Insurance Company	300441	Agent - Casualty	1/26/2004	6/21/2004
Inactive	Progressive Northwestern Insurance Company	300441	Agent - Property	1/26/2004	6/21/2004
Inactive	QBE Insurance Corporation	300515	Agent - Casualty	5/7/2018	3/30/2020
Inactive	QBE Insurance Corporation	300515	Agent - Property	5/7/2018	3/30/2020
Inactive	Response Insurance Company	300240	Agent - Casualty	4/29/2010	11/4/2010
Inactive	Response Insurance Company	300240	Agent - Property	4/29/2010	11/4/2010
Inactive	RiverStone International Insurance, Inc.	301758	Agent - Casualty	7/15/2008	10/27/2010
Inactive	RiverStone International Insurance, Inc.	301758	Agent - Property	7/15/2008	10/27/2010
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	7/17/2008	11/3/2010
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	7/17/2008	11/3/2010
Inactive	Titan Indemnity Company	300556	Agent - Casualty	5/11/2006	6/7/2006
Inactive	Titan Indemnity Company	300556	Agent - Property	5/11/2006	6/7/2006
Inactive	Unitrin Direct Property & Casualty Company	637443	Agent - Casualty	7/15/2008	11/4/2010
Inactive	Unitrin Direct Property & Casualty Company	637443	Agent - Property	7/15/2008	11/4/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Affinity Brokerage, LLC	544886	Agent - Casualty	1/21/2016	2/12/2016
Inactive	Affinity Brokerage, LLC	544886	Agent - Property	1/21/2016	2/12/2016
Inactive	CWI, LLC	662170	Agent - Casualty	1/21/2016	2/12/2016
Inactive	CWI, LLC	662170	Agent - Property	1/21/2016	2/12/2016
Inactive	Camping World Insurance Services of Kentucky, LLC	663187	Agent - Casualty	1/21/2016	2/12/2016
Inactive	Camping World Insurance Services of Kentucky, LLC	663187	Agent - Property	1/21/2016	2/12/2016
Inactive	Citi Assurance Services, Inc	569582	Agent - Casualty	7/18/2008	8/4/2009
Inactive	Citi Assurance Services, Inc	569582	Agent - Property	7/18/2008	8/4/2009
Inactive	CoMa Insurance Agency Inc	526746	Agent - Casualty	7/9/2008	10/28/2010
Inactive	CoMa Insurance Agency Inc	526746	Agent - Property	7/9/2008	10/28/2010
Inactive	Explorer RV Insurance Agency, Inc.	599595	Agent - Casualty	1/25/2005	4/12/2006
Inactive	Explorer RV Insurance Agency, Inc.	599595	Agent - Property	1/25/2005	4/12/2006
Inactive	National General Ins Marketing Inc	621228	Agent - Casualty	1/12/2016	2/4/2016
Inactive	National General Ins Marketing Inc	621228	Agent - Property	1/12/2016	2/4/2016
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Casualty	3/15/2018	6/12/2020
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Property	3/15/2018	6/12/2020