DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Hieronimus, Jennifer Diane	DOIID	590077	NAIC NPN	8104066

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Property	6/16/2004	1/7/2010
Inactive	Resident	Agent	Casualty	6/16/2004	1/7/2010
* 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	American Family Home Insurance Company	301817	Agent - Casualty	10/18/2004	1/7/2010
Inactive	American Family Home Insurance Company	301817	Agent - Property	10/18/2004	1/7/2010
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	10/18/2004	1/7/2010
Inactive	American Modern Home Insurance Company	300791	Agent - Property	10/18/2004	1/7/2010
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	9/21/2005	1/7/2010
Inactive	American Modern Select Insurance Company	581481	Agent - Property	9/21/2005	1/7/2010
Inactive	Nationwide Assurance Company	300166	Agent - Casualty	7/7/2004	11/6/2009
Inactive	Nationwide General Insurance Company	300603	Agent - Casualty	5/20/2005	11/6/2009
Inactive	Nationwide General Insurance Company	300603	Agent - Property	5/20/2005	11/6/2009
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Casualty	7/7/2004	11/6/2009
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Property	7/7/2004	11/6/2009
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	7/7/2004	11/6/2009
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	7/7/2004	11/6/2009
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Casualty	7/7/2004	11/6/2009
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Property	7/7/2004	11/6/2009
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	2/7/2007	11/6/2009
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	2/7/2007	11/6/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	NBS Insurance Agency Inc	515576	Agent - Casualty	11/10/2004	1/7/2010
Inactive	NBS Insurance Agency Inc	515576	Agent - Property	11/10/2004	1/7/2010