DEPARTMENT OF INSURANCE

Affiliations

Name	Mabbitt, Jennifer Leigh	DOIID	712528	NAIC NPN	6534706

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	9/28/2012	12/31/2025
Active	Non Resident	Agent	Health	8/31/2009	12/31/2025
Active	Non Resident	Agent	Casualty	9/28/2012	12/31/2025
* 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
Active	American Family Connect Property and Casualty Insurance Company	622403	Agent - Casualty	10/2/2012
Inactive	American Family Connect Property and Casualty Insurance Company	622403	Agent - Health	10/2/2012	9/24/2015
Active	American Family Connect Property and Casualty Insurance Company	622403	Agent - Property	10/2/2012
Active	American Modern Home Insurance Company	300791	Agent - Casualty	7/13/2015
Active	American Modern Home Insurance Company	300791	Agent - Property	7/13/2015
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	8/8/2022
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	8/8/2022
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	7/13/2015	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	7/13/2015	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	7/13/2015	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	7/13/2015	11/14/2021
Active	Bristol West Insurance Company	301655	Agent - Casualty	5/18/2022
Active	Bristol West Insurance Company	301655	Agent - Property	5/18/2022
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	12/11/2012
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	12/11/2012
Active	Great Northern Insurance Company	301107	Agent - Casualty	6/27/2016
Active	Great Northern Insurance Company	301107	Agent - Property	6/27/2016
Active	Homesite Insurance Company	301139	Agent - Casualty	10/24/2017
Active	Homesite Insurance Company	301139	Agent - Property	10/24/2017
Active	Homesite Insurance Company of the Midwest	874850	Agent - Casualty	10/24/2017
Active	Homesite Insurance Company of the Midwest	874850	Agent - Property	10/24/2017
Active	Midvale Indemnity Company	300292	Agent - Casualty	4/19/2019
Active	Midvale Indemnity Company	300292	Agent - Property	4/19/2019
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	10/30/2009	11/4/2011
Active	RLI Insurance Company	301217	Agent - Casualty	11/7/2012
Active	RLI Insurance Company	301217	Agent - Property	11/7/2012
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/16/2009	5/24/2012
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/16/2009	3/21/2019
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	9/16/2009	5/24/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Family Connect Insurance Agency, Inc.	619157	Agent - Property	10/16/2012
Active	American Family Connect Insurance Agency, Inc.	619157	Agent - Casualty	10/16/2012