DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Kelley, Jason E	DOIID	664429	NAIC NPN	8272312

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	9/20/2007	3/5/2013
Inactive	Non Resident	Agent	Property	9/20/2007	3/5/2013
* 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	American Zurich Insurance Company	300592	Agent - Casualty	10/9/2007	7/18/2012
Inactive	American Zurich Insurance Company	300592	Agent - Property	10/9/2007	7/18/2012
Inactive	Assurance Company of America	300432	Agent - Casualty	10/9/2007	7/18/2012
Inactive	Assurance Company of America	300432	Agent - Property	10/9/2007	7/18/2012
Inactive	Maryland Casualty Company	301719	Agent - Casualty	10/9/2007	7/18/2012
Inactive	Maryland Casualty Company	301719	Agent - Property	10/9/2007	7/18/2012
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	10/9/2007	7/18/2012
Inactive	Northern Insurance Company of New York	301317	Agent - Property	10/9/2007	7/18/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	US Assure Insurance Services of Florida, Inc.	770390	Agent - Property	12/12/2011	7/16/2012
Inactive	US Assure Insurance Services of Florida, Inc.	770390	Agent - Casualty	12/12/2011	7/16/2012
Inactive	USAssure Insurance Services, Inc.	533937	Agent - Property	5/13/2011	2/23/2012
Inactive	USAssure Insurance Services, Inc.	533937	Agent - Casualty	5/13/2011	2/23/2012