DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Fox, Jason	DOIID	671966	NAIC NPN	3664621

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	1/14/2008	11/14/2017
Inactive	Non Resident	Agent	Casualty	1/14/2008	11/14/2017
* 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	Bristol West Insurance Company	301655	Agent - Casualty	6/7/2013	8/11/2017
Inactive	Bristol West Insurance Company	301655	Agent - Property	6/7/2013	8/11/2017
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/7/2013	8/11/2017
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/7/2013	8/11/2017
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	6/7/2013	8/11/2017
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	6/7/2013	8/11/2017
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	6/7/2013	8/11/2017
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	6/7/2013	8/11/2017
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	7/18/2011	12/17/2012
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	7/18/2011	12/17/2012
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	3/17/2008	9/5/2017
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	3/17/2008	9/5/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	USI Insurance Services National, Inc	509421	Agent - Property	3/19/2008	8/1/2017
Inactive	USI Insurance Services National, Inc	509421	Agent - Casualty	3/19/2008	8/1/2017
Inactive	World Ins Assoc LLC	859168	Agent - Property	8/18/2017	9/5/2017
Inactive	World Ins Assoc LLC	859168	Agent - Casualty	8/18/2017	9/5/2017