DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Jurgens, Richard	DOIID	760887	NAIC NPN	16287552

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	8/13/2011	4/30/2021
Inactive	Non Resident	Agent	Casualty	8/13/2011	4/30/2021
Inactive	Non Resident	Agent	Health	8/13/2011	4/30/2021
* 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	AMEX Assurance Company	301728	Agent - Casualty	8/25/2011	11/21/2019
Inactive	AMEX Assurance Company	301728	Agent - Health	8/25/2011	11/21/2019
Inactive	AMEX Assurance Company	301728	Agent - Property	8/25/2011	11/21/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	APAC Customer Services Inc	505425	Agent - Health	8/25/2011	1/18/2013
Inactive	APAC Customer Services Inc	505425	Agent - Property	8/25/2011	1/18/2013
Inactive	APAC Customer Services Inc	505425	Agent - Casualty	8/25/2011	1/18/2013
Inactive	Alorica Customer Care, Inc.	800938	Agent - Health	1/29/2013	1/15/2019
Inactive	Alorica Customer Care, Inc.	800938	Agent - Property	1/29/2013	1/15/2019
Inactive	Alorica Customer Care, Inc.	800938	Agent - Casualty	1/29/2013	1/15/2019
Inactive	Alorica Customer Care, LLC	1011657	Agent - Health	10/9/2018	11/20/2019
Inactive	Alorica Customer Care, LLC	1011657	Agent - Property	10/9/2018	11/20/2019
Inactive	Alorica Customer Care, LLC	1011657	Agent - Casualty	10/9/2018	11/20/2019