DEPARTMENT OF INSURANCE

Affiliations

Name	Thompson, Jackie Donald	DOIID	693846	NAIC NPN	12284852

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Denied	Resident	Agent	Health
Denied	Resident	Agent	Life
Inactive	Resident	Agent	Property	9/13/2016	5/10/2017
Inactive	Resident	Agent	Casualty	9/13/2016	5/10/2017
* 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	American Commerce Insurance Company	301665	Agent - Casualty	9/26/2016	4/20/2017
Inactive	American Commerce Insurance Company	301665	Agent - Property	9/26/2016	4/20/2017
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	12/7/2011	8/1/2016
Inactive	American Fire and Casualty Company	300567	Agent - Property	12/7/2011	8/1/2016
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	11/16/2016	5/10/2017
Inactive	Bristol West Insurance Company	301655	Agent - Property	11/16/2016	5/10/2017
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	10/5/2016	5/10/2017
Inactive	Encompass Indemnity Company	546376	Agent - Property	10/5/2016	5/10/2017
Inactive	Encompass Insurance Company of America	556578	Agent - Casualty	10/5/2016	5/10/2017
Inactive	Encompass Insurance Company of America	556578	Agent - Property	10/5/2016	5/10/2017
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	2/16/2010	8/1/2016
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	2/16/2010	8/1/2016
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	2/5/2015	8/1/2016
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	2/5/2015	8/1/2016
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	10/21/2016	5/10/2017
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	10/21/2016	5/10/2017
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	4/25/2017	5/10/2017
Inactive	Ohio Security Insurance Company	300622	Agent - Property	4/25/2017	5/10/2017
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	1/23/2009	8/1/2016
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	1/23/2009	8/1/2016
Inactive	West American Insurance Company	301112	Agent - Casualty	12/7/2011	8/1/2016
Inactive	West American Insurance Company	301112	Agent - Property	12/7/2011	8/1/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	JLJ Insurance Services, Inc.	691035	Agent - Property	1/23/2009	8/1/2016
Inactive	JLJ Insurance Services, Inc.	691035	Agent - Casualty	1/23/2009	8/1/2016