DEPARTMENT OF INSURANCE

Affiliations

Name	Jacques, Sarah J	DOIID	618321	NAIC NPN	8274863

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	5/8/2009	9/30/2015
Inactive	Non Resident	Agent	Casualty	10/25/2005	9/30/2015
Inactive	Non Resident	Agent	Property	10/25/2005	9/30/2015
* 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	AMEX Assurance Company	301728	Agent - Casualty	11/3/2005	5/18/2007
Inactive	AMEX Assurance Company	301728	Agent - Property	11/3/2005	5/18/2007
Inactive	American Family Connect Property and Casualty Insurance Company	622403	Agent - Casualty	7/18/2006	7/9/2015
Inactive	American Family Connect Property and Casualty Insurance Company	622403	Agent - Health	5/14/2009	7/9/2015
Inactive	American Family Connect Property and Casualty Insurance Company	622403	Agent - Property	7/18/2006	7/9/2015
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	11/10/2010	9/30/2015
Inactive	American Modern Home Insurance Company	300791	Agent - Property	11/10/2010	9/30/2015
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	11/10/2010	9/30/2015
Inactive	American Modern Select Insurance Company	581481	Agent - Property	11/10/2010	9/30/2015
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	11/10/2010	9/30/2015
Inactive	American Southern Home Insurance Company	626276	Agent - Property	11/10/2010	9/30/2015
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	9/14/2012	9/30/2015
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	9/14/2012	9/30/2015
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	12/8/2005	9/30/2015
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	12/8/2005	9/30/2015
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	12/8/2005	9/30/2015
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	12/8/2005	9/30/2015
Inactive	RLI Insurance Company	301217	Agent - Casualty	1/9/2006	6/2/2015
Inactive	RLI Insurance Company	301217	Agent - Property	1/9/2006	6/2/2015
Inactive	United Financial Casualty Company	301886	Agent - Casualty	12/8/2005	9/30/2015
Inactive	United Financial Casualty Company	301886	Agent - Property	12/8/2005	9/30/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Family Connect Insurance Agency, Inc.	619157	Agent - Casualty	11/10/2005	6/3/2015
Inactive	American Family Connect Insurance Agency, Inc.	619157	Agent - Property	11/10/2005	6/3/2015