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DEPARTMENT OF INSURANCE
Affiliations
Name
Blomberg, Jacob
DOIID
781628
NAIC NPN
16631133
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Personal Lines
6/5/2012
12/31/2014
Inactive
Non Resident
Agent
Life
6/27/2013
12/31/2014
* 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
Nationwide Life Insurance Company
300495
Agent - Life
9/10/2013
12/14/2014
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Life
9/10/2013
12/14/2014
Inactive
Nationwide Mutual Insurance Company
301749
Agent - Personal Lines
6/11/2012
12/31/2014
Inactive
Progressive Casualty Insurance Company
300696
Agent - Personal Lines
7/16/2012
12/31/2014
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
6/13/2012
12/31/2014
Inactive
Nationwide Sales Solutions Inc
631821
Agent - Life
9/10/2013
12/14/2014
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