DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Josephsen, Jeremy	DOIID	781115	NAIC NPN	16628465

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	11/6/2017	4/30/2019
Inactive	Non Resident	Agent	Personal Lines	5/4/2012	4/30/2015
Inactive	Non Resident	Agent	Casualty	11/6/2017	4/30/2019
Active	Non Resident	Staff Adjuster	Property & Casualty	7/28/2023		4/30/2025
* 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	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Casualty	11/8/2017	6/20/2018
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Property	11/8/2017	6/20/2018
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	11/8/2017	6/20/2018
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	11/8/2017	6/20/2018
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Personal Lines	5/24/2012	5/16/2014
Inactive	Progressive Casualty Insurance Company	300696	Agent - Personal Lines	7/12/2012	6/30/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Nationwide Sales Solutions Inc	631821	Agent - Personal Lines	5/30/2012	5/15/2014