DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Jackson, Michael Jermaine	DOIID	664993	NAIC NPN	8296952

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	10/15/2007	8/31/2010
Inactive	Non Resident	Agent	Casualty	10/15/2007	8/31/2010
* 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	21st Century Centennial Insurance Company	301840	Agent - Casualty	11/26/2007	8/31/2010
Inactive	21st Century Centennial Insurance Company	301840	Agent - Property	11/26/2007	8/31/2010
Inactive	21st Century North America Insurance Company	300884	Agent - Casualty	11/26/2007	8/31/2010
Inactive	21st Century North America Insurance Company	300884	Agent - Property	11/26/2007	8/31/2010
Inactive	American Home Assurance Company	300246	Agent - Casualty	11/26/2007	8/31/2010
Inactive	American Home Assurance Company	300246	Agent - Property	11/26/2007	8/31/2010
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	4/10/2009	8/31/2010
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	4/10/2009	8/31/2010
Inactive	Tesla Insurance Company	300337	Agent - Casualty	8/14/2008	4/29/2010
Inactive	Tesla Insurance Company	300337	Agent - Property	8/14/2008	4/29/2010
Inactive	Tesla Property & Casualty, Inc.	301611	Agent - Casualty	8/14/2008	4/29/2010
Inactive	Tesla Property & Casualty, Inc.	301611	Agent - Property	8/14/2008	4/29/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Balboa Insurance Services Inc.	516610	Agent - Property	9/21/2009	5/4/2010
Inactive	Balboa Insurance Services Inc.	516610	Agent - Casualty	9/21/2009	5/4/2010
Inactive	Banc of America Insurance Services, Inc.	400875	Agent - Property	9/25/2009	8/10/2010
Inactive	Banc of America Insurance Services, Inc.	400875	Agent - Casualty	9/25/2009	8/10/2010