DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	O'Brien, Jason Michael	DOIID	609351	NAIC NPN	8479240

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Denied	Resident	Agent	Limited Line Credit
Inactive	Resident	Agent	Casualty	7/10/2012	4/1/2017
Inactive	Resident	Agent	Property	7/10/2012	4/1/2017
* 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	ShelterPoint Insurance Company	300439	Agent - Limited Line Credit	6/27/2005	3/31/2007
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	1/11/2008	3/31/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Jeff Wyler Frankfort, Inc.	605269	Agent - Limited Line Credit	9/19/2005	3/31/2007