DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Scanlon & Assoc Ins Brokers Inc DBA : Scanlon, Guerra, Jacobsen & Burke Insurance Brokers	DOIID	574440	NAIC NPN	2747384

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	7/12/2007	3/31/2015
Inactive	Non Resident	Agent	Health	7/18/2009	3/31/2015
Inactive	Non Resident	Agent	Casualty	7/12/2007	3/31/2015
Inactive	Non Resident	Agent	Life	7/18/2009	3/31/2015
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	2/3/2006	1/23/2008
* 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	Consolidated Insurance Company	300943	Agent - Casualty	12/13/2010	3/2/2015
Inactive	Consolidated Insurance Company	300943	Agent - Property	12/13/2010	3/2/2015
Inactive	Employers Assurance Company	300120	Agent - Casualty	9/20/2012	3/31/2015
Inactive	Employers Preferred Insurance Company	520656	Agent - Casualty	9/20/2012	3/31/2015
Inactive	Everest National Insurance Company	301319	Agent - Casualty	3/20/2006	3/17/2007
Inactive	Everest National Insurance Company	301319	Agent - Property	3/20/2006	3/17/2007
Inactive	Indiana Insurance Company	301909	Agent - Casualty	12/13/2010	3/2/2015
Inactive	Indiana Insurance Company	301909	Agent - Property	12/13/2010	3/2/2015
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	3/16/2015	3/31/2015
Inactive	Liberty Mutual Insurance Company	301159	Agent - Property	3/16/2015	3/31/2015
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	12/13/2010	3/2/2015
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	12/13/2010	3/2/2015
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	11/26/2007	3/2/2015
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	11/26/2007	3/2/2015
Inactive	Peerless Insurance Company	301910	Agent - Casualty	12/13/2010	3/2/2015
Inactive	Peerless Insurance Company	301910	Agent - Property	12/13/2010	3/2/2015

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Jacobsen, Eric B	558867	Agent - Casualty	3/31/2005	3/17/2007
Inactive	Jacobsen, Eric B	558867	Agent - Health	3/31/2005	3/17/2007
Denied	Jacobsen, Eric B	558867	Agent - Life
Inactive	Jacobsen, Eric B	558867	Agent - Property	3/31/2005	3/17/2007
Inactive	Jacobsen, Eric B	558867	Surplus Lines Broker - Not Applicable	2/3/2006	1/23/2008
Inactive	Scanlon, James Nelson	650759	Agent - Casualty	7/12/2007	3/31/2015
Inactive	Scanlon, James Nelson	650759	Agent - Health	7/18/2009	3/31/2015
Inactive	Scanlon, James Nelson	650759	Agent - Life	7/20/2009	3/31/2015
Inactive	Scanlon, James Nelson	650759	Agent - Property	7/12/2007	3/31/2015
Denied	Scanlon, James Nelson	650759	Surplus Lines Broker - Not Applicable