DEPARTMENT OF INSURANCE

Affiliations

Name	Green, Jessica Verleye	DOIID	601690	NAIC NPN	1054291

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	1/24/2005	1/31/2025
Active	Non Resident	Agent	Casualty	1/24/2005	1/31/2025
* 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
Agent	11/15/2024	01/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	AIG Property Casualty Company	300621	Agent - Casualty	6/15/2017
Active	AIG Property Casualty Company	300621	Agent - Property	6/15/2017
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	10/7/2008	10/15/2021
Inactive	American Fire and Casualty Company	300567	Agent - Property	10/7/2008	10/15/2021
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	10/7/2008	4/26/2024
Inactive	Consolidated Insurance Company	300943	Agent - Property	10/7/2008	4/26/2024
Inactive	Indiana Insurance Company	301909	Agent - Casualty	10/7/2008	2/3/2023
Inactive	Indiana Insurance Company	301909	Agent - Property	10/7/2008	2/3/2023
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	10/7/2008	4/26/2024
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	10/7/2008	4/26/2024
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	10/7/2008
Active	Ohio Casualty Insurance Company	301492	Agent - Property	10/7/2008
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	10/7/2008	10/15/2021
Inactive	Ohio Security Insurance Company	300622	Agent - Property	10/7/2008	10/15/2021
Active	Peerless Indemnity Insurance Company	571682	Agent - Casualty	10/7/2008
Active	Peerless Indemnity Insurance Company	571682	Agent - Property	10/7/2008
Active	Peerless Insurance Company	301910	Agent - Casualty	10/7/2008
Active	Peerless Insurance Company	301910	Agent - Property	10/7/2008
Active	Privilege Underwriters Reciprocal Exchange	769657	Agent - Casualty	3/27/2019
Active	Privilege Underwriters Reciprocal Exchange	769657	Agent - Property	3/27/2019
Inactive	Rural Community Insurance Company	301891	Agent - Casualty	1/14/2010	10/24/2011
Inactive	Rural Community Insurance Company	301891	Agent - Property	1/14/2010	10/24/2011
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	2/6/2008	3/26/2019
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	2/6/2008	3/26/2019
Active	West American Insurance Company	301112	Agent - Casualty	10/7/2008
Active	West American Insurance Company	301112	Agent - Property	10/7/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	USI Insurance Services National, Inc	509421	Agent - Property	2/8/2008	10/9/2019
Inactive	USI Insurance Services National, Inc	509421	Agent - Casualty	2/8/2008	10/9/2019
Active	Usi Insurance Services LLC	669260	Agent - Property	1/10/2019
Active	Usi Insurance Services LLC	669260	Agent - Casualty	1/10/2019