DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Busch, Jodi Autumn	DOIID	697809	NAIC NPN	1633174

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Casualty	1/22/2009		2/28/2025
Pending Replacement	Non Resident	Agent	Property	1/22/2009		2/28/2025
Pending Replacement	Non Resident	Surplus Lines Broker	Not Applicable	3/10/2009		2/28/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	12/15/2024	02/28/2025
Surplus Lines Broker	12/15/2024	02/28/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American National Property and Casualty Company	300392	Agent - Casualty	7/24/2020	1/6/2023
Inactive	American National Property and Casualty Company	300392	Agent - Property	7/24/2020	1/6/2023
Pending Replacement	Integon National Insurance Company	301600	Agent - Casualty	10/5/2020
Pending Replacement	Integon National Insurance Company	301600	Agent - Property	10/5/2020
Pending Replacement	MIC General Insurance Corporation	300398	Agent - Casualty	10/5/2020
Pending Replacement	MIC General Insurance Corporation	300398	Agent - Property	10/5/2020
Pending Replacement	Markel American Insurance Company	300377	Agent - Casualty	3/12/2009
Pending Replacement	Markel American Insurance Company	300377	Agent - Property	3/12/2009
Pending Replacement	Securian Casualty Company	642441	Agent - Casualty	2/25/2020
Pending Replacement	Securian Casualty Company	642441	Agent - Property	2/25/2020
Inactive	Underwriters at Lloyd's, London	300658	Agent - Casualty	4/1/2013	12/14/2023
Inactive	Underwriters at Lloyd's, London	300658	Agent - Property	4/1/2013	12/14/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	Proctor Financial Inc	502292	Agent - Property	3/12/2009
Pending Replacement	Proctor Financial Inc	502292	Agent - Casualty	3/12/2009
Pending Replacement	Proctor Financial Inc	502292	Surplus Lines Broker - Not Applicable	3/10/2009