DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Grossman, Jason Harris	DOIID	708276	NAIC NPN	9288714

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	6/24/2009	1/31/2015
Inactive	Non Resident	Agent	Casualty	6/24/2009	1/31/2015
* 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	Empire Fire and Marine Insurance Company	300666	Agent - Casualty	4/1/2010	6/4/2013
Inactive	Empire Fire and Marine Insurance Company	300666	Agent - Property	4/1/2010	6/4/2013
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Casualty	4/6/2010	6/10/2013
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Property	4/6/2010	6/10/2013
Inactive	Praetorian Insurance Company	301021	Agent - Casualty	4/1/2010	6/4/2013
Inactive	Praetorian Insurance Company	301021	Agent - Property	4/1/2010	6/4/2013
Inactive	QBE Insurance Corporation	300515	Agent - Casualty	2/15/2011	6/4/2013
Inactive	QBE Insurance Corporation	300515	Agent - Property	2/15/2011	6/4/2013
Inactive	Tesla Insurance Company	300337	Agent - Casualty	9/8/2009	10/8/2012
Inactive	Tesla Insurance Company	300337	Agent - Property	9/8/2009	10/8/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Westwood Insurance Agency, LLC	534091	Agent - Casualty	9/8/2009	5/27/2013
Inactive	Westwood Insurance Agency, LLC	534091	Agent - Property	9/8/2009	5/27/2013