DEPARTMENT OF INSURANCE

Affiliations

Name	Humphrey, Jason	DOIID	756311	NAIC NPN	6902451

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	6/17/2011	1/31/2016
Inactive	Non Resident	Agent	Health	6/25/2015	1/31/2016
Inactive	Non Resident	Agent	Property	6/17/2011	1/31/2016
Inactive	Non Resident	Agent	Life	4/13/2012	1/31/2016
* 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	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	11/6/2012	12/9/2013
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	11/6/2012	12/9/2013
Inactive	Continental American Insurance Company	301700	Agent - Life	10/31/2013	1/31/2016
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	6/7/2012	8/12/2012
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	6/7/2012	8/12/2012
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	7/7/2011	7/18/2012
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	7/7/2011	7/18/2012
Inactive	New York Life Insurance Company	300431	Agent - Life	9/12/2012	8/19/2015
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	10/24/2011	7/30/2012
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	10/24/2011	7/30/2012
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	10/24/2011	7/30/2012
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	10/24/2011	7/30/2012
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	10/29/2013	1/31/2016
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	11/6/2012	1/31/2016
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	11/6/2012	1/31/2016
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	11/6/2012	12/21/2015
Inactive	The Phoenix Insurance Company	301502	Agent - Property	11/6/2012	12/21/2015
Inactive	Travelers Commercial Insurance Company	301506	Agent - Casualty	11/6/2012	12/3/2014
Inactive	Travelers Commercial Insurance Company	301506	Agent - Property	11/6/2012	12/3/2014
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	11/6/2012	12/3/2014
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	11/6/2012	12/3/2014
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	11/6/2012	1/31/2016
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	11/6/2012	1/31/2016
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	11/6/2012	12/3/2014
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	11/6/2012	12/3/2014
Inactive	United Financial Casualty Company	301886	Agent - Casualty	10/24/2011	7/30/2012
Inactive	United Financial Casualty Company	301886	Agent - Property	10/24/2011	7/30/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mercer Health & Benefits Administration LLC	656414	Agent - Property	1/10/2014	1/31/2016
Inactive	Mercer Health & Benefits Administration LLC	656414	Agent - Casualty	1/10/2014	1/31/2016
Inactive	Mercer Health & Benefits Administration LLC	656414	Agent - Life	1/10/2014	1/31/2016
Inactive	Nationwide Sales Solutions Inc	631821	Agent - Property	7/12/2011	7/30/2012
Inactive	Nationwide Sales Solutions Inc	631821	Agent - Casualty	7/12/2011	7/30/2012
Inactive	Nationwide Sales Solutions Inc	631821	Agent - Life	6/13/2012	8/7/2012