DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Haller, Jacquelyn A	DOIID	596643	NAIC NPN	1871262

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	10/19/2004	11/6/2013
Inactive	Non Resident	Agent	Casualty	10/19/2004	11/6/2013
* 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	Progressive Casualty Insurance Company	300696	Agent - Casualty	11/6/2012	3/25/2013
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	11/6/2012	3/25/2013
Inactive	Progressive Direct Insurance Company	301379	Agent - Casualty	4/13/2005	3/25/2013
Inactive	Progressive Direct Insurance Company	301379	Agent - Property	4/13/2005	3/25/2013
Inactive	Progressive Max Insurance Company	301034	Agent - Casualty	10/30/2004	12/28/2005
Inactive	Progressive Max Insurance Company	301034	Agent - Property	10/30/2004	12/28/2005
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	10/30/2004	12/11/2009
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	10/30/2004	12/11/2009
Inactive	Progressive Northwestern Insurance Company	300441	Agent - Casualty	10/30/2004	12/28/2005
Inactive	Progressive Northwestern Insurance Company	300441	Agent - Property	10/30/2004	12/28/2005
Inactive	Progressive Specialty Insurance Company	300797	Agent - Casualty	10/30/2004	12/28/2005
Inactive	Progressive Specialty Insurance Company	300797	Agent - Property	10/30/2004	12/28/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Harley-Davidson Ins Services Inc	545855	Agent - Property	2/17/2011	3/25/2013
Inactive	Harley-Davidson Ins Services Inc	545855	Agent - Casualty	2/17/2011	3/25/2013
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Property	7/31/2007	3/25/2013
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Casualty	7/31/2007	3/25/2013