DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Kurk, Jill Rena	DOIID	587809	NAIC NPN	8044403

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Property	6/7/2004	1/31/2008
Inactive	Resident	Agent	Casualty	6/7/2004	1/31/2008
* 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	MICO Insurance Company	301664	Agent - Casualty	11/1/2004	1/31/2008
Inactive	MICO Insurance Company	301664	Agent - Property	11/1/2004	1/31/2008
Inactive	Motorists Mutual Insurance Company	300963	Agent - Casualty	11/1/2004	1/31/2008
Inactive	Motorists Mutual Insurance Company	300963	Agent - Property	11/1/2004	1/31/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Kiely Hines & Associates Insurance Agency Inc.	399757	Agent - Casualty	2/14/2006	2/13/2007
Inactive	Kiely Hines & Associates Insurance Agency Inc.	399757	Agent - Property	2/14/2006	2/13/2007