DEPARTMENT OF INSURANCE

Affiliations

Name	Klusmeier, Jeffrey Grant	DOIID	763594	NAIC NPN	16394233

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Property	2/2/2023		10/31/2026
Active	Resident	Agent	Casualty	2/2/2023		10/31/2026
Denied	Resident	Agent	Life
Inactive	Resident	Agent	Personal Lines	1/11/2017	7/25/2018
* 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	08/15/2024	10/31/2024	10/17/2024	10/17/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	5/1/2023	12/19/2023
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	5/1/2023	12/19/2023
Active	American Economy Insurance Company	300315	Agent - Casualty	4/28/2023
Active	American Economy Insurance Company	300315	Agent - Property	4/28/2023
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	4/23/2015	10/31/2016
Inactive	American Fire and Casualty Company	300567	Agent - Property	4/23/2015	10/31/2016
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Personal Lines	10/16/2017	7/25/2018
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	9/1/2015	10/31/2016
Inactive	Bristol West Insurance Company	301655	Agent - Property	9/1/2015	10/31/2016
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	4/23/2015	10/31/2016
Inactive	Consolidated Insurance Company	300943	Agent - Property	4/23/2015	10/31/2016
Inactive	Dairyland Insurance Company	301370	Agent - Personal Lines	4/17/2018	7/25/2018
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	9/1/2015	10/31/2016
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	9/1/2015	10/31/2016
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	9/1/2015	10/31/2016
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	9/1/2015	10/31/2016
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	9/1/2015	10/31/2016
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	9/1/2015	10/31/2016
Inactive	Grange Indemnity Insurance Company	300793	Agent - Personal Lines	5/15/2017	7/25/2018
Inactive	Grange Insurance Company	300234	Agent - Personal Lines	5/15/2017	7/25/2018
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Personal Lines	5/15/2017	7/25/2018
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	7/1/2019	10/31/2022
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	7/1/2019	10/31/2022
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	10/13/2021	10/31/2022
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	10/13/2021	10/31/2022
Inactive	Indiana Insurance Company	301909	Agent - Casualty	4/23/2015	10/31/2016
Inactive	Indiana Insurance Company	301909	Agent - Property	4/23/2015	10/31/2016
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	4/23/2015	10/31/2016
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	4/23/2015	10/31/2016
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	4/23/2015	10/31/2016
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	4/23/2015	10/31/2016
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	4/23/2015	10/31/2016
Inactive	Ohio Security Insurance Company	300622	Agent - Property	4/23/2015	10/31/2016
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	4/23/2015	10/31/2016
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	4/23/2015	10/31/2016
Inactive	Peerless Insurance Company	301910	Agent - Casualty	4/23/2015	10/31/2016
Inactive	Peerless Insurance Company	301910	Agent - Property	4/23/2015	10/31/2016
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	11/3/2015	10/31/2016
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	11/3/2015	10/31/2016
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	11/23/2020	5/27/2022
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	11/23/2020	5/27/2022
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Personal Lines	10/16/2017	7/25/2018
Inactive	The Phoenix Insurance Company	301502	Agent - Personal Lines	10/16/2017	7/25/2018
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Personal Lines	10/16/2017	7/25/2018
Inactive	Trustgard Insurance Company	300104	Agent - Personal Lines	5/15/2017	7/25/2018
Inactive	United Financial Casualty Company	301886	Agent - Casualty	11/3/2015	10/31/2016
Inactive	United Financial Casualty Company	301886	Agent - Property	11/3/2015	10/31/2016
Inactive	West American Insurance Company	301112	Agent - Casualty	4/23/2015	10/31/2016
Inactive	West American Insurance Company	301112	Agent - Property	4/23/2015	10/31/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Joe Maupin Insurance Agency, Inc.	634803	Agent - Casualty	5/14/2018	10/31/2022
Inactive	Joe Maupin Insurance Agency, Inc.	634803	Agent - Property	5/14/2018	10/31/2022
Inactive	Maupin Bratcher Insurance Agency, LLC	867263	Agent - Casualty	8/4/2015	10/31/2016
Inactive	Maupin Bratcher Insurance Agency, LLC	867263	Agent - Property	8/4/2015	10/31/2016