DEPARTMENT OF INSURANCE

Affiliations

Name	Boehmer, Jill E	DOIID	755098	NAIC NPN	1437598

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	5/25/2011	3/31/2025
Active	Non Resident	Agent	Property	5/25/2011	3/31/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	5/25/2011	3/31/2025
* 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	01/15/2025	03/31/2025
Surplus Lines Broker	01/15/2025	03/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACE American Insurance Company	300625	Agent - Casualty	8/1/2014
Active	ACE American Insurance Company	300625	Agent - Property	8/1/2014
Active	American Fire and Casualty Company	300567	Agent - Casualty	8/14/2015
Active	American Fire and Casualty Company	300567	Agent - Property	8/14/2015
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	8/14/2015	4/26/2024
Inactive	Consolidated Insurance Company	300943	Agent - Property	8/14/2015	4/26/2024
Inactive	Great American Assurance Company	300327	Agent - Casualty	10/13/2015	4/22/2019
Inactive	Great American Assurance Company	300327	Agent - Property	10/13/2015	4/22/2019
Inactive	Indiana Insurance Company	301909	Agent - Casualty	8/14/2015	2/3/2023
Inactive	Indiana Insurance Company	301909	Agent - Property	8/14/2015	2/3/2023
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	8/14/2015	4/26/2024
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	8/14/2015	4/26/2024
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	8/14/2015
Active	Ohio Casualty Insurance Company	301492	Agent - Property	8/14/2015
Active	Ohio Security Insurance Company	300622	Agent - Casualty	8/14/2015
Active	Ohio Security Insurance Company	300622	Agent - Property	8/14/2015
Active	Peerless Indemnity Insurance Company	571682	Agent - Casualty	8/14/2015
Active	Peerless Indemnity Insurance Company	571682	Agent - Property	8/14/2015
Active	Peerless Insurance Company	301910	Agent - Casualty	8/14/2015
Active	Peerless Insurance Company	301910	Agent - Property	8/14/2015
Active	RLI Insurance Company	301217	Agent - Casualty	11/21/2022
Active	RLI Insurance Company	301217	Agent - Property	11/21/2022
Active	West American Insurance Company	301112	Agent - Casualty	8/14/2015
Active	West American Insurance Company	301112	Agent - Property	8/14/2015
Active	Westchester Fire Insurance Company	300990	Agent - Casualty	8/1/2014
Active	Westchester Fire Insurance Company	300990	Agent - Property	8/1/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	CRC Ins Services, LLC	502276	Agent - Casualty	12/5/2022
Active	CRC Ins Services, LLC	502276	Agent - Property	12/5/2022
Active	CRC Ins Services, LLC	502276	Surplus Lines Broker - Not Applicable	12/5/2022