DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Nelson, Jennifer K	DOIID	605673	NAIC NPN	8392702

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Adjuster	Independent	3/23/2005	11/30/2007
Inactive	Non Resident	Agent	Casualty	9/7/2007	11/30/2017
Inactive	Non Resident	Agent	Property	9/7/2007	11/30/2017
* 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	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	9/26/2007	11/30/2017
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	9/26/2007	11/30/2017
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	9/26/2007	11/30/2017
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	9/26/2007	11/30/2017
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	9/26/2007	3/4/2014
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	9/26/2007	3/4/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Foremost Express Insurance Agency Inc.	515334	Agent - Casualty
Denied	Foremost Express Insurance Agency Inc.	515334	Agent - Property