DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Dawson, Jacquelyn Rene	DOIID	656490	NAIC NPN	8463604

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	12/24/2014	3/31/2016
Inactive	Non Resident	Agent	Life	12/24/2014	3/31/2016
Inactive	Non Resident	Agent	Property	5/29/2007	3/31/2010
Inactive	Non Resident	Agent	Casualty	5/29/2007	3/31/2010
* 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	Gerber Life Insurance Company	300529	Agent - Health	12/30/2014	1/23/2015
Inactive	Gerber Life Insurance Company	300529	Agent - Life	12/30/2014	1/23/2015
Inactive	Watford Insurance Company	556753	Agent - Casualty	6/8/2007	3/31/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Professionals Direct Insurance Services, Inc.	548827	Agent - Casualty	1/17/2008	3/31/2010