DEPARTMENT OF INSURANCE

Affiliations

Name	Haynes, Jeffrey J	DOIID	630079	NAIC NPN	444975

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	4/12/2006	5/31/2026
Active	Non Resident	Agent	Casualty	4/12/2006	5/31/2026
Denied	Resident	Agent	Life
Denied	Resident	Agent	Health
* 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
Active	Employers Insurance Company of Wausau	301813	Agent - Casualty	2/9/2011
Active	Employers Insurance Company of Wausau	301813	Agent - Property	2/9/2011
Active	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	2/9/2011
Active	First Liberty Insurance Corporation (The)	301060	Agent - Property	2/9/2011
Active	LM Insurance Corporation	301061	Agent - Casualty	2/9/2011
Active	LM Insurance Corporation	301061	Agent - Property	2/9/2011
Active	Liberty Insurance Corporation	300444	Agent - Casualty	2/9/2011
Active	Liberty Insurance Corporation	300444	Agent - Property	2/9/2011
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	2/9/2011
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Property	2/9/2011
Active	Liberty Mutual Insurance Company	301159	Agent - Casualty	2/9/2011
Active	Liberty Mutual Insurance Company	301159	Agent - Property	2/9/2011
Active	National Interstate Insurance Company	301301	Agent - Casualty	4/26/2021
Active	National Interstate Insurance Company	301301	Agent - Property	4/26/2021
Active	Triumphe Casualty Company	839234	Agent - Casualty	4/26/2021
Active	Triumphe Casualty Company	839234	Agent - Property	4/26/2021
Active	Vanliner Insurance Company	301420	Agent - Casualty	4/26/2021
Active	Vanliner Insurance Company	301420	Agent - Property	4/26/2021
Inactive	Wausau Business Insurance Company	301476	Agent - Casualty	2/9/2011	3/31/2015
Inactive	Wausau Business Insurance Company	301476	Agent - Property	2/9/2011	3/31/2015
Inactive	Wausau Underwriters Insurance Company	301105	Agent - Casualty	2/9/2011	8/31/2015
Inactive	Wausau Underwriters Insurance Company	301105	Agent - Property	2/9/2011	8/31/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority
Denied	USI Ins Services Of Florida Inc	590895	Agent - Casualty
Denied	USI Ins Services Of Florida Inc	590895	Agent - Property
Denied	Usi Insurance Services LLC	669260	Agent - Casualty
Denied	Usi Insurance Services LLC	669260	Agent - Property