DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Jacobson, Carol	DOIID	682622	NAIC NPN	10656147

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	6/11/2008	5/7/2010
Inactive	Non Resident	Agent	Property	6/11/2008	5/7/2010
* 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	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	6/27/2008	3/26/2010
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	6/27/2008	3/26/2010
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	6/27/2008	3/26/2010
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	6/27/2008	3/26/2010
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	6/27/2008	3/26/2010
Inactive	The Phoenix Insurance Company	301502	Agent - Property	6/27/2008	3/26/2010
Inactive	Travelers Commercial Insurance Company	301506	Agent - Casualty	6/27/2008	3/26/2010
Inactive	Travelers Commercial Insurance Company	301506	Agent - Property	6/27/2008	3/26/2010
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	6/27/2008	3/26/2010
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	6/27/2008	3/26/2010
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	6/27/2008	3/26/2010
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	6/27/2008	3/26/2010
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	6/27/2008	3/26/2010
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	6/27/2008	3/26/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assurant Insurance Agency, Inc	559398	Agent - Property	8/1/2008	2/25/2010
Inactive	Assurant Insurance Agency, Inc	559398	Agent - Casualty	8/1/2008	2/25/2010