DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Dossett, Jason W	DOIID	596985	NAIC NPN	8276253

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	4/1/2005	7/1/2006
Inactive	Resident	Agent	Life	11/19/2004	7/1/2006
Active	Resident	Independent Adjuster	Crop	11/20/2012		7/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Independent Adjuster	05/15/2024	07/31/2024	05/16/2024	05/16/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	12/16/2005	12/22/2005
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	12/16/2005	12/22/2005
Inactive	Woodmen of the World Life Insurance Society	301446	Agent - Health	4/29/2005	7/15/2005
Inactive	Woodmen of the World Life Insurance Society	301446	Agent - Life	11/19/2004	7/15/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Woodmen Insurance Agency, Inc.	579244	Agent - Health	4/29/2005	7/15/2005
Inactive	Woodmen Insurance Agency, Inc.	579244	Agent - Life	4/15/2005	7/15/2005