DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Osborn, Jennifer H	DOIID	781654	NAIC NPN	16594886

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	5/11/2012	6/30/2014
Inactive	Non Resident	Agent	Property	5/11/2012	6/30/2014
* 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	Hartford Casualty Insurance Company	301332	Agent - Casualty	9/6/2012	6/30/2014
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	9/6/2012	6/30/2014
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	7/3/2012	6/30/2014
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	7/3/2012	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	Paychex Insurance Agency Inc	509469	Agent - Property	7/3/2012	6/30/2014
Inactive	Paychex Insurance Agency Inc	509469	Agent - Casualty	7/3/2012	6/30/2014