DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Larsen, Jennifer	DOIID	686184	NAIC NPN	11062075

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	8/8/2008	1/31/2011
Inactive	Non Resident	Agent	Property	8/8/2008	1/31/2011
Inactive	Non Resident	Agent	Casualty	8/8/2008	1/31/2011
Inactive	Non Resident	Agent	Life	8/8/2008	1/31/2011
* 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	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Casualty	10/29/2008	9/2/2010
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Property	10/29/2008	9/2/2010
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	10/29/2008	9/2/2010
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	10/29/2008	9/2/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Seabury & Smith Inc	394854	Agent - Health
Denied	Seabury & Smith Inc	394854	Agent - Life
Inactive	Seabury & Smith Inc	394854	Agent - Property	10/29/2008	9/2/2010
Inactive	Seabury & Smith Inc	394854	Agent - Casualty	10/29/2008	9/2/2010