DEPARTMENT OF INSURANCE

Affiliations

Name	Pack, Jane Lee	DOIID	711358	NAIC NPN	7270440

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Property	2/8/2010	12/22/2011
Inactive	Resident	Agent	Casualty	2/8/2010	12/22/2011
Inactive	Resident	Agent	Health	2/8/2010	12/22/2011
Inactive	Resident	Agent	Life	2/8/2010	12/22/2011
* 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	Consolidated Insurance Company	300943	Agent - Casualty	10/27/2009	12/23/2009
Inactive	Consolidated Insurance Company	300943	Agent - Property	10/27/2009	12/23/2009
Inactive	First National Insurance Company of America	301690	Agent - Casualty	10/27/2009	12/23/2009
Inactive	First National Insurance Company of America	301690	Agent - Property	10/27/2009	12/23/2009
Inactive	General Insurance Company of America	300261	Agent - Casualty	10/27/2009	12/23/2009
Inactive	General Insurance Company of America	300261	Agent - Property	10/27/2009	12/23/2009
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	10/20/2009	12/23/2009
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	10/20/2009	12/23/2009
Inactive	Grange Insurance Company	300234	Agent - Casualty	10/20/2009	12/23/2009
Inactive	Grange Insurance Company	300234	Agent - Property	10/20/2009	12/23/2009
Inactive	Grange Life Insurance Company	300128	Agent - Health	10/20/2009	12/23/2009
Inactive	Grange Life Insurance Company	300128	Agent - Life	10/20/2009	12/23/2009
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	10/20/2009	12/23/2009
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	10/20/2009	12/23/2009
Inactive	Indiana Insurance Company	301909	Agent - Casualty	10/27/2009	12/23/2009
Inactive	Indiana Insurance Company	301909	Agent - Property	10/27/2009	12/23/2009
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	10/27/2009	12/23/2009
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	10/27/2009	12/23/2009
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	10/27/2009	12/23/2009
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	10/27/2009	12/23/2009
Inactive	Peerless Insurance Company	301910	Agent - Casualty	10/27/2009	12/23/2009
Inactive	Peerless Insurance Company	301910	Agent - Property	10/27/2009	12/23/2009
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Casualty	10/23/2009	12/23/2009
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Property	10/23/2009	12/23/2009
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	10/27/2009	12/23/2009
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	10/27/2009	12/23/2009
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	10/27/2009	12/23/2009
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	10/27/2009	12/23/2009
Inactive	State Farm Fire and Casualty Company	301809	Agent - Casualty	2/8/2010	12/22/2011
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	2/8/2010	12/22/2011
Inactive	State Farm General Insurance Company	301122	Agent - Casualty	2/8/2010	11/17/2010
Inactive	State Farm General Insurance Company	301122	Agent - Property	2/8/2010	11/17/2010
Inactive	State Farm Life Insurance Company	301810	Agent - Life	2/8/2010	12/22/2011
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	2/8/2010	12/22/2011
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Health	2/8/2010	12/22/2011
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	10/20/2009	12/23/2009
Inactive	Trustgard Insurance Company	300104	Agent - Property	10/20/2009	12/23/2009
Inactive	Universal Insurance Company	686754	Agent - Casualty	10/19/2009	12/23/2009
Inactive	Universal Insurance Company	686754	Agent - Property	10/19/2009	12/23/2009
Inactive	Westfield Insurance Company	301950	Agent - Casualty	11/3/2009	12/23/2009
Inactive	Westfield Insurance Company	301950	Agent - Property	11/3/2009	12/23/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	First Ins Group Property & Casualty Division Inc	633740	Agent - Casualty	10/19/2009	11/9/2009
Inactive	First Ins Group Property & Casualty Division Inc	633740	Agent - Health	10/20/2009	11/9/2009
Inactive	First Ins Group Property & Casualty Division Inc	633740	Agent - Life	10/20/2009	11/9/2009
Inactive	First Ins Group Property & Casualty Division Inc	633740	Agent - Property	10/19/2009	11/9/2009