DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Green, Jeffrey	DOIID	780852	NAIC NPN	16601992

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	1/6/2022		7/31/2027
Active	Non Resident	Agent	Casualty	1/6/2022		7/31/2027
* 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	05/15/2025	07/31/2025	05/05/2025	05/05/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Continental Casualty Company	301019	Agent - Casualty	7/11/2023
Active	Continental Casualty Company	301019	Agent - Property	7/11/2023
Inactive	Old Republic Insurance Company	301225	Agent - Property	4/11/2014	12/23/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Asurion Insurance Services Inc	509331	Agent - Property
Denied	Asurion Insurance Services Inc	509331	Agent - Casualty
Active	Asurion Protection Services, LLC.	545067	Agent - Property	7/31/2024
Active	Asurion Protection Services, LLC.	545067	Agent - Casualty	7/31/2024