DEPARTMENT OF INSURANCE
Affiliations
NameBlack, Jennifer DOIID796296NAIC NPN16176959
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentPersonal Lines10/30/20121/31/2024 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveFirst Liberty Insurance Corporation (The)301060Agent - Personal Lines10/10/20139/3/2014
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Personal Lines12/10/20192/20/2020
InactiveGovernment Employees Insurance Company300376Agent - Personal Lines1/23/201812/15/2023
InactiveHomesite Insurance Company301139Agent - Personal Lines12/20/20121/31/2024
InactiveHomesite Insurance Company of the Midwest874850Agent - Personal Lines7/11/20171/31/2024
InactiveLM General Insurance Company300133Agent - Personal Lines10/10/20139/3/2014
InactiveLM Insurance Corporation301061Agent - Personal Lines10/10/20131/18/2024
InactiveLiberty Insurance Corporation300444Agent - Personal Lines10/10/20131/18/2024
InactiveLiberty Mutual Fire Insurance Company301913Agent - Personal Lines10/10/20131/18/2024
InactiveLiberty Mutual Insurance Company301159Agent - Personal Lines10/10/20131/18/2024
InactiveLiberty Mutual Personal Insurance Company959584Agent - Personal Lines8/6/20181/18/2024
InactivePeerless Indemnity Insurance Company571682Agent - Personal Lines10/13/20221/18/2024
InactiveStillwater Insurance Company567181Agent - Personal Lines2/5/20131/17/2024
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveGeico Insurance Agency, LLC558517Agent - Personal Lines12/20/20121/31/2024

© Commonwealth of Kentucky. All rights reserved.