DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Erickson, Jay P	DOIID	579313	NAIC NPN	574240

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	10/22/2003	8/29/2012
Inactive	Non Resident	Agent	Life	10/22/2003	8/29/2012
Inactive	Non Resident	Agent	Health	10/22/2003	8/29/2012
Inactive	Non Resident	Agent	Property	10/22/2003	8/29/2012
* 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	Bestow Life Insurance Company	300577	Agent - Health	11/23/2005	8/29/2012
Inactive	Bestow Life Insurance Company	300577	Agent - Life	11/23/2005	8/29/2012
Inactive	Centurion Casualty Company	301715	Agent - Casualty	11/23/2005	3/31/2008
Inactive	Centurion Casualty Company	301715	Agent - Property	11/23/2005	3/31/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Wells Fargo Financial Agency Company	633200	Agent - Casualty	8/29/2006	3/31/2008
Inactive	Wells Fargo Financial Agency Company	633200	Agent - Property	8/29/2006	3/31/2008
Inactive	Wells Fargo Financial Agency Company	633200	Agent - Health	8/29/2006	2/21/2011
Inactive	Wells Fargo Financial Agency Company	633200	Agent - Life	8/29/2006	2/21/2011
Inactive	Wells Fargo Financial Kentucky, Inc.	544819	Agent - Casualty	12/22/2005	3/31/2007
Inactive	Wells Fargo Financial Kentucky, Inc.	544819	Agent - Property	12/22/2005	3/31/2007
Inactive	Wells Fargo Financial Kentucky, Inc.	544819	Agent - Health	12/22/2005	3/31/2007
Inactive	Wells Fargo Financial Kentucky, Inc.	544819	Agent - Life	12/22/2005	3/31/2007