DEPARTMENT OF INSURANCE

Affiliations

Name	Gould, Jacquelyn Kay	DOIID	550086	NAIC NPN	2184405

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	5/28/2002	4/30/2022
Inactive	Non Resident	Agent	Property	5/28/2002	4/30/2022
Inactive	Non Resident	Agent	Life	5/28/2002	4/30/2022
Inactive	Non Resident	Agent	Casualty	5/28/2002	4/30/2022
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	6/1/2010	4/30/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Health	6/1/2010	4/30/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Life	6/1/2010	4/30/2022
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	8/2/2020	4/30/2022
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	8/2/2020	4/30/2022
Inactive	American Interstate Insurance Company	301092	Agent - Casualty	10/4/2006	12/1/2017
Inactive	Banner Life Insurance Company	301696	Agent - Life	3/2/2007	4/30/2022
Inactive	Bridgefield Casualty Insurance Company	500013	Agent - Casualty	1/29/2007	4/30/2022
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	5/28/2002	6/11/2014
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	5/28/2002	6/11/2014
Inactive	Continental Casualty Company	301019	Agent - Property	4/10/2012	3/14/2018
Inactive	FCCI Insurance Company	557454	Agent - Casualty	5/6/2005	12/23/2009
Inactive	FCCI Insurance Company	557454	Agent - Property	5/6/2005	12/23/2009
Inactive	Fireman's Fund Insurance Company	301423	Agent - Casualty	5/28/2002	12/17/2007
Inactive	Fireman's Fund Insurance Company	301423	Agent - Property	5/28/2002	12/17/2007
Inactive	Monroe Guaranty Insurance Company	300771	Agent - Casualty	5/6/2005	12/23/2009
Inactive	Monroe Guaranty Insurance Company	300771	Agent - Property	5/6/2005	12/23/2009
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	7/17/2007	10/27/2010
Inactive	National Trust Insurance Company	300367	Agent - Casualty	5/6/2005	12/23/2009
Inactive	National Trust Insurance Company	300367	Agent - Property	5/6/2005	12/23/2009
Inactive	Silver Oak Casualty, Inc.	517101	Agent - Casualty	10/4/2006	11/23/2010
Inactive	Silver Oak Casualty, Inc.	517101	Agent - Property	10/4/2006	11/23/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assurance Agency LTD	552246	Agent - Casualty	10/4/2006	3/31/2022
Inactive	Assurance Agency LTD	552246	Agent - Health	6/24/2002	3/31/2022
Inactive	Assurance Agency LTD	552246	Agent - Life	6/24/2002	3/31/2022
Inactive	Assurance Agency LTD	552246	Agent - Property	3/13/2013	3/14/2018
Inactive	Marsh & Mclennan Agency LLC	716460	Agent - Casualty	9/30/2020	4/30/2022
Inactive	Marsh & Mclennan Agency LLC	716460	Agent - Health	9/30/2020	4/30/2022
Inactive	Marsh & Mclennan Agency LLC	716460	Agent - Life	9/30/2020	4/30/2022
Denied	Marsh & Mclennan Agency LLC	716460	Agent - Property