DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Haines, Jill Marie	DOIID	597638	NAIC NPN	8010474

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	11/1/2004	5/31/2008
Inactive	Non Resident	Agent	Casualty	11/1/2004	5/31/2008
* 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	Empire Fire and Marine Insurance Company	300666	Agent - Casualty	3/10/2006	9/5/2006
Inactive	Empire Fire and Marine Insurance Company	300666	Agent - Property	3/10/2006	9/5/2006
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Casualty	3/15/2006	10/9/2006
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Property	3/15/2006	10/9/2006
Inactive	Selective Insurance Company of the Southeast	300381	Agent - Casualty	4/20/2007	5/22/2008
Inactive	Selective Insurance Company of the Southeast	300381	Agent - Property	4/20/2007	5/22/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Cal Fed Ins Agency Inc	615571	Agent - Casualty	4/17/2006	8/8/2006
Inactive	Cal Fed Ins Agency Inc	615571	Agent - Property	4/17/2006	8/8/2006