DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Cormier, Jules Carr	DOIID	803235	NAIC NPN	16885939

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	8/5/2013	6/30/2020
Inactive	Non Resident	Agent	Property	2/22/2013	6/30/2020
Inactive	Non Resident	Agent	Casualty	2/22/2013	6/30/2020
Inactive	Non Resident	Agent	Health	8/5/2013	6/30/2020
* 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	State Farm Fire and Casualty Company	301809	Agent - Casualty	4/21/2014	9/27/2017
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	4/21/2014	9/27/2017
Inactive	State Farm Life Insurance Company	301810	Agent - Life	4/21/2014	9/27/2017
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	4/21/2014	9/27/2017
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Health	4/21/2014	9/27/2017
Inactive	Time Insurance Company	300683	Agent - Health	4/21/2014	7/12/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Franck Insurance Agency Inc	622185	Agent - Casualty	4/4/2017	9/27/2017
Inactive	Franck Insurance Agency Inc	622185	Agent - Property	4/4/2017	9/27/2017
Inactive	Franck Insurance Agency Inc	622185	Agent - Life	4/4/2017	9/27/2017
Inactive	Franck Insurance Agency Inc	622185	Agent - Health	4/4/2017	9/27/2017