DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Longbons, Jeffrey M	DOIID	793526	NAIC NPN	12603854

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	10/16/2012	8/21/2018
Inactive	Non Resident	Agent	Property	10/16/2012	8/21/2018
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	10/16/2012	8/21/2018
* 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	GuideOne Elite Insurance Company	300490	Agent - Casualty	10/21/2015	8/21/2018
Inactive	GuideOne Elite Insurance Company	300490	Agent - Property	10/21/2015	8/21/2018
Inactive	GuideOne Insurance Company	301794	Agent - Casualty	10/21/2015	8/21/2018
Inactive	GuideOne Insurance Company	301794	Agent - Property	10/21/2015	8/21/2018
Inactive	GuideOne Specialty Insurance Company	300278	Agent - Casualty	10/21/2015	8/21/2018
Inactive	GuideOne Specialty Insurance Company	300278	Agent - Property	10/21/2015	8/21/2018
Inactive	State National Insurance Company, Inc.	300888	Agent - Casualty	10/20/2012	8/3/2017
Inactive	State National Insurance Company, Inc.	300888	Agent - Property	10/20/2012	8/3/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Doxa E&S Solutions, LLC	958156	Agent - Property	6/21/2017	8/21/2018
Inactive	Doxa E&S Solutions, LLC	958156	Agent - Casualty	6/21/2017	8/21/2018
Inactive	Doxa E&S Solutions, LLC	958156	Surplus Lines Broker - Not Applicable	6/21/2017	8/21/2018
Inactive	Promont Advisors LLC	795020	Agent - Property	10/17/2012	8/18/2017
Inactive	Promont Advisors LLC	795020	Agent - Casualty	10/17/2012	8/18/2017
Inactive	Promont Advisors LLC	795020	Surplus Lines Broker - Not Applicable	10/17/2012	8/21/2018