DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Nelson, Gloria Jean	DOIID	559573	NAIC NPN	2583496

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	11/12/2002	9/15/2010
Inactive	Non Resident	Agent	Property	11/12/2002	9/15/2010
* 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	Hartford Accident and Indemnity Company	301917	Agent - Casualty	11/12/2002	11/7/2007
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	11/12/2002	11/7/2007
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	11/12/2002	9/15/2010
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	11/12/2002	9/15/2010
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	11/12/2002	11/5/2008
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	11/12/2002	11/5/2008
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	11/12/2002	11/5/2008
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	11/12/2002	11/5/2008
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	11/12/2002	11/7/2007
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	11/12/2002	11/7/2007
Inactive	Property and Casualty Insurance Company of Hartford	301409	Agent - Casualty	12/22/2005	11/7/2007
Inactive	Property and Casualty Insurance Company of Hartford	301409	Agent - Property	12/22/2005	11/7/2007
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	11/12/2002	9/15/2010
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	11/12/2002	9/15/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Black/White & Associates Insurance Brokers, Inc.	556967	Agent - Casualty	1/5/2004	4/30/2007
Inactive	Black/White & Associates Insurance Brokers, Inc.	556967	Agent - Property	1/5/2004	4/30/2007
Inactive	Black/White & Associates of Nevada Inc	612893	Agent - Casualty	2/4/2009	8/24/2010
Inactive	Black/White & Associates of Nevada Inc	612893	Agent - Property	2/4/2009	8/24/2010
Inactive	Pointsure Ins Services Inc	626755	Agent - Casualty	5/12/2009	9/15/2010
Inactive	Pointsure Ins Services Inc	626755	Agent - Property	5/12/2009	9/15/2010