DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Beem, Jennifer Buckner	DOIID	541452	NAIC NPN	7220252

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Property	2/6/2002	11/30/2013
Inactive	Resident	Agent	Health	5/8/2002	11/30/2013
Inactive	Resident	Agent	Life	5/3/2002	11/30/2013
Inactive	Resident	Agent	Casualty	3/8/2002	11/30/2013
AFFIDAVIT ON FILE
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Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	State Farm Fire and Casualty Company	301809	Agent - Casualty	3/8/2002	7/22/2005
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	2/6/2002	7/22/2005
Inactive	State Farm General Insurance Company	301122	Agent - Casualty	3/8/2002	7/22/2005
Inactive	State Farm General Insurance Company	301122	Agent - Property	2/6/2002	7/22/2005
Inactive	State Farm Life Insurance Company	301810	Agent - Life	5/3/2002	7/22/2005
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	3/8/2002	7/22/2005
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Health	5/8/2002	12/19/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	John H Schoene Insurange Agency Inc.	399569	Agent - Property	2/17/2003	3/18/2005
Inactive	John H Schoene Insurange Agency Inc.	399569	Agent - Casualty	2/17/2003	3/18/2005
Inactive	John H Schoene Insurange Agency Inc.	399569	Agent - Health	2/17/2003	3/18/2005
Inactive	John H Schoene Insurange Agency Inc.	399569	Agent - Life	2/17/2003	3/18/2005