DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Jacoby, Michael J	DOIID	560735	NAIC NPN	61822

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	11/25/2002	7/6/2009
Inactive	Non Resident	Agent	Casualty	11/25/2002	7/6/2009
* 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	Arch Insurance Company	300688	Agent - Casualty	6/5/2008	7/6/2009
Inactive	Arch Insurance Company	300688	Agent - Property	6/5/2008	7/6/2009
Inactive	Employers Insurance Company of Wausau	301813	Agent - Casualty	3/26/2003	4/28/2008
Inactive	Employers Insurance Company of Wausau	301813	Agent - Property	3/26/2003	4/28/2008
Inactive	Fairmont Specialty Insurance Company	300980	Agent - Casualty	6/23/2004	3/6/2006
Inactive	Fairmont Specialty Insurance Company	300980	Agent - Property	6/23/2004	3/6/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	IMA Of Texas Inc	688698	Agent - Casualty	10/23/2008	7/6/2009
Inactive	IMA Of Texas Inc	688698	Agent - Property	10/23/2008	7/6/2009
Inactive	Lockton Companies Inc.	398333	Agent - Casualty	7/12/2004	4/28/2008
Inactive	Lockton Companies Inc.	398333	Agent - Property	7/12/2004	4/28/2008
Inactive	Lockton Companies LLC	621496	Agent - Casualty	4/13/2006	4/28/2008
Inactive	Lockton Companies LLC	621496	Agent - Property	4/13/2006	4/28/2008
Denied	Lockton Companies of Dallas, Inc.	513717	Agent - Casualty
Denied	Lockton Companies of Dallas, Inc.	513717	Agent - Property