DEPARTMENT OF INSURANCE
Affiliations
NameMyers, Jeremy AlanDOIID769400NAIC NPN16470454
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife5/11/2012 9/30/2025
ActiveNon ResidentAgentCasualty5/11/2012 9/30/2025
ActiveNon ResidentAgentHealth5/11/2012 9/30/2025
ActiveNon ResidentAgentProperty5/11/2012 9/30/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent07/15/202509/30/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
Inactive1st Choice Advantage Insurance Company, Inc.750782Agent - Casualty3/1/20143/1/2019
InactiveACUITY, A Mutual Insurance Company300095Agent - Casualty1/30/20156/25/2018
InactiveACUITY, A Mutual Insurance Company300095Agent - Property1/30/20156/25/2018
InactiveAmerican Economy Insurance Company300315Agent - Casualty3/8/20212/17/2022
InactiveAmerican Economy Insurance Company300315Agent - Property3/8/20212/17/2022
InactiveAuto-Owners Insurance Company301480Agent - Casualty2/13/20141/22/2018
InactiveAuto-Owners Insurance Company301480Agent - Property2/13/20141/22/2018
InactiveAuto-Owners Life Insurance Company301368Agent - Health2/13/20141/22/2018
InactiveAuto-Owners Life Insurance Company301368Agent - Life2/13/20141/22/2018
InactiveBrickStreet Mutual Insurance Company709251Agent - Casualty11/27/202111/27/2021
InactiveBristol West Insurance Company301655Agent - Casualty2/22/20144/11/2018
InactiveBristol West Insurance Company301655Agent - Property2/22/20144/11/2018
InactiveCelina Mutual Insurance Company (The)301908Agent - Casualty1/27/20159/22/2017
InactiveCelina Mutual Insurance Company (The)301908Agent - Property1/27/20159/22/2017
InactiveEncompass Indemnity Company546376Agent - Casualty10/23/202010/3/2024
InactiveEncompass Indemnity Company546376Agent - Property10/23/202010/3/2024
InactiveEverett Cash Mutual Insurance Company750768Agent - Casualty3/1/20143/1/2019
InactiveEverett Cash Mutual Insurance Company750768Agent - Property3/1/20143/1/2019
ActiveFederal Insurance Company301144Agent - Casualty10/13/2020 
ActiveFederal Insurance Company301144Agent - Property10/13/2020 
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty10/16/20206/14/2021
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property10/16/20206/14/2021
InactiveMeridian Security Insurance Company300423Agent - Casualty1/6/20212/8/2023
InactiveMeridian Security Insurance Company300423Agent - Property1/6/20212/8/2023
InactiveNorthStone Insurance Company818905Agent - Casualty11/27/202111/27/2021
InactiveOhio Casualty Insurance Company301492Agent - Casualty2/13/20145/8/2018
InactiveOhio Security Insurance Company300622Agent - Casualty9/5/20145/8/2018
InactiveOhio Security Insurance Company300622Agent - Property9/5/20145/8/2018
InactiveOwners Insurance Company300796Agent - Casualty2/13/20141/22/2018
InactiveOwners Insurance Company300796Agent - Property2/13/20141/22/2018
ActivePhiladelphia Indemnity Insurance Company301221Agent - Casualty3/25/2014 
ActivePhiladelphia Indemnity Insurance Company301221Agent - Property3/25/2014 
InactivePinnaclePoint Insurance Company819085Agent - Casualty11/27/202111/27/2021
InactiveProgressive Casualty Insurance Company300696Agent - Casualty2/13/20145/7/2018
InactiveProgressive Casualty Insurance Company300696Agent - Property2/13/20145/7/2018
InactiveSAFECO Insurance Company of Illinois301350Agent - Casualty5/7/20212/17/2022
InactiveSAFECO Insurance Company of Illinois301350Agent - Property5/7/20212/17/2022
ActiveSouthern Mutual Church Insurance Company676676Agent - Casualty10/28/2015 
ActiveSouthern Mutual Church Insurance Company676676Agent - Property10/28/2015 
InactiveState Auto Property & Casualty Insurance Company301953Agent - Casualty3/6/20202/8/2023
InactiveState Auto Property & Casualty Insurance Company301953Agent - Property3/6/20202/8/2023
InactiveState Farm Fire and Casualty Company301809Agent - Casualty5/11/20121/22/2014
InactiveState Farm Fire and Casualty Company301809Agent - Property5/11/20121/22/2014
InactiveState Farm Life Insurance Company301810Agent - Life5/11/20121/22/2014
InactiveState Farm Mutual Automobile Insurance Company301732Agent - Casualty5/11/20121/22/2014
InactiveState Farm Mutual Automobile Insurance Company301732Agent - Health5/11/20121/22/2014
InactiveSummitPoint Insurance Company819084Agent - Casualty11/27/202111/27/2021
ActiveWest Bend Insurance Company672974Agent - Casualty6/11/2024 
ActiveWest Bend Insurance Company672974Agent - Property6/11/2024 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveIns Group Of America LLC858782Agent - Casualty10/6/2021 
ActiveIns Group Of America LLC858782Agent - Property10/6/2021 
InactiveLatta Insurance Services Inc.720169Agent - Casualty2/13/20143/1/2018
InactiveLatta Insurance Services Inc.720169Agent - Property2/13/20143/1/2018
InactiveLatta Insurance Services Inc.720169Agent - Life2/13/20141/22/2018
InactiveLatta Insurance Services Inc.720169Agent - Health2/13/20141/22/2018
ActiveRaymond Preston & Reed LLC773959Agent - Casualty9/18/2020 
ActiveRaymond Preston & Reed LLC773959Agent - Property9/18/2020 

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