DEPARTMENT OF INSURANCE

Affiliations

Name	Jordan, Nicholas	DOIID	811296	NAIC NPN	16972815

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Casualty	6/7/2013	6/1/2018
Inactive	Resident	Agent	Life	6/20/2013	6/1/2018
Inactive	Resident	Agent	Health	6/20/2013	6/1/2018
Inactive	Resident	Agent	Property	6/7/2013	6/1/2018
* 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	American Fire and Casualty Company	300567	Agent - Casualty	3/2/2015	6/1/2018
Inactive	American Fire and Casualty Company	300567	Agent - Property	3/2/2015	6/1/2018
Inactive	Auto-Owners Life Insurance Company	301368	Agent - Health	7/23/2015	6/1/2018
Inactive	Auto-Owners Life Insurance Company	301368	Agent - Life	7/23/2015	6/1/2018
Inactive	Brighthouse Life Insurance Company	301829	Agent - Health	10/5/2015	6/1/2018
Inactive	Brighthouse Life Insurance Company	301829	Agent - Life	10/5/2015	6/1/2018
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	3/2/2015	6/1/2018
Inactive	Consolidated Insurance Company	300943	Agent - Property	3/2/2015	6/1/2018
Inactive	Indiana Insurance Company	301909	Agent - Casualty	3/2/2015	6/1/2018
Inactive	Indiana Insurance Company	301909	Agent - Property	3/2/2015	6/1/2018
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	3/2/2015	6/1/2018
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	3/2/2015	6/1/2018
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	3/2/2015	6/1/2018
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	3/2/2015	6/1/2018
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	3/2/2015	6/1/2018
Inactive	Ohio Security Insurance Company	300622	Agent - Property	3/2/2015	6/1/2018
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	3/2/2015	6/1/2018
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	3/2/2015	6/1/2018
Inactive	Peerless Insurance Company	301910	Agent - Casualty	3/2/2015	6/1/2018
Inactive	Peerless Insurance Company	301910	Agent - Property	3/2/2015	6/1/2018
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	12/23/2014	6/1/2018
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	12/23/2014	6/1/2018
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	12/23/2014	6/1/2018
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	12/23/2014	6/1/2018
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	7/21/2014	6/1/2018
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	7/21/2014	6/1/2018
Inactive	State Farm Fire and Casualty Company	301809	Agent - Casualty	7/8/2013	7/15/2014
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	7/8/2013	7/15/2014
Inactive	State Farm Life Insurance Company	301810	Agent - Life	7/8/2013	7/15/2014
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	7/8/2013	7/15/2014
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Health	7/8/2013	7/15/2014
Inactive	Time Insurance Company	300683	Agent - Health	7/8/2013	7/15/2014
Inactive	West American Insurance Company	301112	Agent - Casualty	3/2/2015	6/1/2018
Inactive	West American Insurance Company	301112	Agent - Property	3/2/2015	6/1/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fusting & Dugan Insurance LLC	620778	Agent - Casualty	7/21/2014	6/1/2018
Inactive	Fusting & Dugan Insurance LLC	620778	Agent - Life	7/23/2015	6/1/2018
Inactive	Fusting & Dugan Insurance LLC	620778	Agent - Property	7/21/2014	6/1/2018
Inactive	Fusting & Dugan Insurance LLC	620778	Agent - Health	7/23/2015	6/1/2018