DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Ambrose, Jacqueline Leigh	DOIID	679737	NAIC NPN	10727082

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Casualty	5/13/2008	9/30/2013
Inactive	Resident	Agent	Health	12/30/2009	9/30/2013
Inactive	Resident	Agent	Life	6/18/2010	9/30/2013
Inactive	Resident	Agent	Property	5/16/2008	9/30/2013
* 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	AIG Assurance Company	300897	Agent - Casualty	8/14/2008	8/26/2009
Inactive	AIG Assurance Company	300897	Agent - Property	8/14/2008	8/26/2009
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	8/22/2008	9/3/2009
Inactive	Bristol West Insurance Company	301655	Agent - Property	8/22/2008	9/3/2009
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	8/14/2008	8/26/2009
Inactive	Illinois National Insurance Company	301367	Agent - Property	8/14/2008	8/26/2009
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Casualty	8/14/2008	8/26/2009
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Property	8/14/2008	8/26/2009
Inactive	State Farm Fire and Casualty Company	301809	Agent - Casualty	9/24/2009	9/23/2013
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	9/24/2009	9/23/2013
Inactive	State Farm General Insurance Company	301122	Agent - Casualty	9/24/2009	11/16/2010
Inactive	State Farm General Insurance Company	301122	Agent - Property	9/24/2009	11/16/2010
Inactive	State Farm Life Insurance Company	301810	Agent - Life	8/2/2010	9/23/2013
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	9/24/2009	9/23/2013
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Health	12/30/2009	9/23/2013
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	8/22/2008	8/25/2009
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	8/22/2008	8/25/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Auto Insurance Plus, LLC	399598	Agent - Casualty	9/16/2008	8/26/2009
Inactive	Auto Insurance Plus, LLC	399598	Agent - Property	9/16/2008	8/26/2009