DEPARTMENT OF INSURANCE

Affiliations

Name	Balderrama, Jeaneth	DOIID	804127	NAIC NPN	15931209

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	2/20/2013	11/30/2021
Inactive	Non Resident	Agent	Casualty	2/20/2013	11/30/2021
Inactive	Non Resident	Staff Adjuster	Property & Casualty	6/27/2022	8/2/2022
* 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	Bristol West Insurance Company	301655	Agent - Casualty	10/4/2019	8/24/2021
Inactive	Bristol West Insurance Company	301655	Agent - Property	10/4/2019	8/24/2021
Inactive	Farmers Insurance Exchange	300336	Agent - Casualty	6/12/2020	8/24/2021
Inactive	Farmers Insurance Exchange	300336	Agent - Property	6/12/2020	8/24/2021
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	2/22/2013	8/29/2014
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Property	2/22/2013	8/29/2014
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	3/11/2021	8/24/2021
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	3/11/2021	8/24/2021
Inactive	LM General Insurance Company	300133	Agent - Casualty	2/22/2013	8/29/2014
Inactive	LM General Insurance Company	300133	Agent - Property	2/22/2013	8/29/2014
Inactive	LM Insurance Corporation	301061	Agent - Casualty	2/22/2013	8/29/2014
Inactive	LM Insurance Corporation	301061	Agent - Property	2/22/2013	8/29/2014
Inactive	Liberty Insurance Corporation	300444	Agent - Casualty	2/22/2013	8/29/2014
Inactive	Liberty Insurance Corporation	300444	Agent - Property	2/22/2013	8/29/2014
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	2/22/2013	8/29/2014
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Property	2/22/2013	8/29/2014
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	2/22/2013	8/29/2014
Inactive	Liberty Mutual Insurance Company	301159	Agent - Property	2/22/2013	8/29/2014
Inactive	Praetorian Insurance Company	301021	Agent - Casualty	5/23/2017	8/6/2018
Inactive	Praetorian Insurance Company	301021	Agent - Property	5/23/2017	8/6/2018
Inactive	Progressive Direct Insurance Company	301379	Agent - Casualty	1/27/2015	12/19/2016
Inactive	Progressive Direct Insurance Company	301379	Agent - Property	1/27/2015	12/19/2016
Inactive	QBE Insurance Corporation	300515	Agent - Casualty	5/23/2017	8/6/2018
Inactive	QBE Insurance Corporation	300515	Agent - Property	5/23/2017	8/6/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fx Insurance Agency, LLC	646184	Agent - Casualty	10/9/2019	8/19/2021
Inactive	Fx Insurance Agency, LLC	646184	Agent - Property	10/9/2019	8/19/2021
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Casualty	1/28/2015	12/19/2016
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Property	1/28/2015	12/19/2016
Inactive	Westwood Insurance Agency, LLC	534091	Agent - Casualty	5/24/2017	8/6/2018
Inactive	Westwood Insurance Agency, LLC	534091	Agent - Property	5/24/2017	8/6/2018