DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Stapleton, Jane Lourdes	DOIID	570890	NAIC NPN	3362762

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	10/29/2009	12/31/2014
Inactive	Non Resident	Agent	Property	10/29/2009	12/31/2014
* 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	ACE Fire Underwriters Insurance Company	301679	Agent - Casualty	7/26/2003	1/2/2007
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Property	7/26/2003	1/2/2007
Inactive	Great American Security Insurance Company	301228	Agent - Casualty	5/5/2011	3/8/2013
Inactive	Great American Security Insurance Company	301228	Agent - Property	5/5/2011	3/8/2013
Inactive	Westchester Fire Insurance Company	301414	Agent - Casualty	7/26/2003	1/2/2007
Inactive	Westchester Fire Insurance Company	301414	Agent - Property	7/26/2003	1/2/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Great American Ins Agency Inc	556733	Agent - Casualty	11/8/2011	3/8/2013
Inactive	Great American Ins Agency Inc	556733	Agent - Property	11/8/2011	3/8/2013
Inactive	Huntington T Block Insurance Agency, Inc	568182	Agent - Casualty	2/10/2004	1/2/2007
Inactive	Huntington T Block Insurance Agency, Inc	568182	Agent - Property	2/10/2004	1/2/2007