DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Story, Jeremy Dale	DOIID	543938	NAIC NPN	7105637

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	10/11/2002	10/31/2006
Inactive	Non Resident	Agent	Property	5/21/2002	10/31/2006
* 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 Home Assurance Company	300246	Agent - Casualty	9/16/2003	10/31/2006
Inactive	American Home Assurance Company	300246	Agent - Property	9/16/2003	10/31/2006
Inactive	Argonaut Great Central Insurance Company	300850	Agent - Casualty	10/11/2002	10/31/2006
Inactive	Argonaut Great Central Insurance Company	300850	Agent - Property	10/11/2002	10/31/2006
Inactive	Commerce and Industry Insurance Company	300881	Agent - Casualty	9/16/2003	10/31/2006
Inactive	Commerce and Industry Insurance Company	300881	Agent - Property	9/16/2003	10/31/2006
Inactive	Markel Insurance Company	301475	Agent - Casualty	8/19/2005	6/23/2006
Inactive	Markel Insurance Company	301475	Agent - Property	8/19/2005	6/23/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Next Generation Underwriters, Inc.	546477	Agent - Casualty	10/23/2002	1/6/2006
Inactive	Next Generation Underwriters, Inc.	546477	Agent - Property	10/23/2002	1/6/2006
Inactive	Risk Management Services Corp.	401299	Agent - Casualty	5/14/2003	1/5/2004