DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Ohio LTCI Limited	DOIID	755585	NAIC NPN	16113297

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	6/6/2011	3/31/2017
* 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	Encompass Indemnity Company	546376	Agent - Property	8/19/2011	8/20/2015
Inactive	Encompass Insurance Company of America	556578	Agent - Property	8/19/2011	8/20/2015
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	6/20/2011	3/31/2017
Inactive	Grange Insurance Company	300234	Agent - Property	6/20/2011	3/31/2017
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	6/20/2011	3/31/2017
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	9/20/2013	3/31/2017
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	9/20/2013	3/31/2017
Inactive	Trustgard Insurance Company	300104	Agent - Property	6/20/2011	3/31/2017

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Jasko, Michael R	673875	Agent - Property	6/6/2011	3/31/2017