DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Jackson, Dwight A	DOIID	752196	NAIC NPN	16194405

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	4/15/2011	1/31/2014
Inactive	Non Resident	Agent	Casualty	4/15/2011	1/31/2014
* 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	Liberty Insurance Underwriters Inc.	301391	Agent - Casualty	2/7/2013	5/13/2013
Inactive	Liberty Insurance Underwriters Inc.	301391	Agent - Property	2/7/2013	5/13/2013
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	9/7/2011	5/13/2013
Inactive	Liberty Mutual Insurance Company	301159	Agent - Property	9/7/2011	5/13/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Asurion Insurance Services Inc	509331	Agent - Property	10/12/2011	4/13/2012
Inactive	Asurion Insurance Services Inc	509331	Agent - Casualty	10/12/2011	4/13/2012