DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Ambrose, Jeffrey	DOIID	675653	NAIC NPN	8702664

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	6/26/2013	12/31/2017
Inactive	Non Resident	Agent	Casualty	6/26/2013	12/31/2017
* 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	Beazley Insurance Company, Inc.	300899	Agent - Casualty	2/11/2014	12/31/2017
Inactive	Beazley Insurance Company, Inc.	300899	Agent - Property	2/11/2014	12/31/2017
Inactive	Fireman's Fund Insurance Company	301423	Agent - Casualty	11/11/2009	12/31/2011
Inactive	Fireman's Fund Insurance Company	301423	Agent - Property	11/11/2009	12/31/2011
Inactive	Response Insurance Company	300240	Agent - Casualty	9/16/2013	1/2/2014
Inactive	Response Insurance Company	300240	Agent - Property	9/16/2013	1/2/2014
Inactive	Unitrin Direct Property & Casualty Company	637443	Agent - Casualty	9/16/2013	9/22/2016
Inactive	Unitrin Direct Property & Casualty Company	637443	Agent - Property	9/16/2013	9/22/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Casualty	11/11/2009	12/31/2011
Inactive	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Property	11/11/2009	12/31/2011
Inactive	LOCKTON AFFINITY, LLC	524069	Agent - Casualty	6/16/2016	2/27/2017
Inactive	LOCKTON AFFINITY, LLC	524069	Agent - Property	6/16/2016	2/27/2017
Inactive	Mercer Health & Benefits Administration LLC	656414	Agent - Casualty	1/9/2014	12/31/2017
Inactive	Mercer Health & Benefits Administration LLC	656414	Agent - Property	1/9/2014	12/31/2017