DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Sorensen, Jeralyn	DOIID	796181	NAIC NPN	970323

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	10/29/2012	10/31/2020
Inactive	Non Resident	Agent	Casualty	10/29/2012	10/31/2020
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	1/19/2013	10/31/2020
* 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	Employers Insurance Company of Wausau	301813	Agent - Casualty	1/11/2013	10/31/2020
Inactive	Employers Insurance Company of Wausau	301813	Agent - Property	1/11/2013	10/31/2020
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	1/8/2013	10/31/2020
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Property	1/8/2013	10/31/2020
Inactive	LM Insurance Corporation	301061	Agent - Casualty	1/8/2013	10/31/2020
Inactive	LM Insurance Corporation	301061	Agent - Property	1/8/2013	10/31/2020
Inactive	Liberty Insurance Corporation	300444	Agent - Casualty	1/8/2013	10/31/2020
Inactive	Liberty Insurance Corporation	300444	Agent - Property	1/8/2013	10/31/2020
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	1/8/2013	10/31/2020
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Property	1/8/2013	10/31/2020
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	1/8/2013	10/31/2020
Inactive	Liberty Mutual Insurance Company	301159	Agent - Property	1/8/2013	10/31/2020
Inactive	Wausau Business Insurance Company	301476	Agent - Casualty	1/11/2013	3/31/2015
Inactive	Wausau Business Insurance Company	301476	Agent - Property	1/11/2013	3/31/2015
Inactive	Wausau Underwriters Insurance Company	301105	Agent - Casualty	1/11/2013	8/31/2015
Inactive	Wausau Underwriters Insurance Company	301105	Agent - Property	1/11/2013	8/31/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Marsh USA LLC.	514638	Agent - Property	1/30/2014	10/31/2020
Inactive	Marsh USA LLC.	514638	Agent - Casualty	1/30/2014	10/31/2020
Inactive	Marsh USA LLC.	514638	Surplus Lines Broker - Not Applicable	1/30/2014	10/31/2020