DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Jurgensen, Phillip Courtland	DOIID	806222	NAIC NPN	16917271

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Casualty	4/3/2013	10/1/2014
Inactive	Resident	Agent	Property	4/3/2013	10/1/2014
* 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	Encompass Indemnity Company	546376	Agent - Casualty	8/21/2013	10/1/2014
Inactive	Encompass Indemnity Company	546376	Agent - Property	8/21/2013	10/1/2014
Inactive	Encompass Insurance Company of America	556578	Agent - Casualty	8/21/2013	10/1/2014
Inactive	Encompass Insurance Company of America	556578	Agent - Property	8/21/2013	10/1/2014
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	4/10/2013	10/1/2014
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	4/10/2013	10/1/2014
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	4/29/2013	6/4/2014
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	4/29/2013	6/4/2014
Inactive	Grange Insurance Company	300234	Agent - Casualty	4/29/2013	6/4/2014
Inactive	Grange Insurance Company	300234	Agent - Property	4/29/2013	6/4/2014
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	4/29/2013	6/4/2014
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	4/29/2013	6/4/2014
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	4/12/2013	10/1/2014
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	4/12/2013	10/1/2014
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	4/12/2013	10/1/2014
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	4/12/2013	10/1/2014
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	4/29/2013	6/4/2014
Inactive	Trustgard Insurance Company	300104	Agent - Property	4/29/2013	6/4/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bluegrass Ins Group LLC	800654	Agent - Casualty	4/10/2013	1/6/2014
Inactive	Bluegrass Ins Group LLC	800654	Agent - Property	4/10/2013	1/6/2014