DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Brunelle, Jennifer	DOIID	807241	NAIC NPN	16695741

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	5/12/2014	10/31/2019
Inactive	Non Resident	Agent	Health	10/29/2013	10/31/2019
Inactive	Non Resident	Agent	Casualty	4/4/2013	10/31/2019
Inactive	Non Resident	Agent	Property	4/4/2013	10/31/2019
Inactive	Non Resident	Agent	Life	10/29/2013	10/31/2019
Inactive	Non Resident	Agent	Travel	10/29/2013	10/31/2019
* 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	Arch Insurance Company	300688	Agent - Casualty	11/17/2014	10/31/2019
Inactive	Arch Insurance Company	300688	Agent - Health	11/17/2014	10/31/2019
Inactive	Arch Insurance Company	300688	Agent - Property	11/17/2014	10/31/2019
Inactive	Arch Insurance Company	300688	Agent - Travel	4/24/2015	10/31/2019
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	2/18/2014	10/31/2019
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	2/18/2014	10/31/2019
Inactive	United States Fire Insurance Company	582240	Agent - Casualty	8/20/2013	11/11/2019
Inactive	United States Fire Insurance Company	582240	Agent - Health	12/16/2013	11/11/2019
Inactive	United States Fire Insurance Company	582240	Agent - Property	8/20/2013	11/11/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	On Call International LLC	614639	Agent - Property	4/1/2014	9/12/2019
Inactive	On Call International LLC	614639	Agent - Casualty	4/1/2014	9/12/2019
Inactive	On Call International LLC	614639	Agent - Travel	4/24/2015	9/12/2019
Inactive	On Call International LLC	614639	Agent - Health	4/1/2014	9/12/2019
Inactive	On Call International LLC	614639	Administrator - Not Applicable	6/4/2014	10/31/2019