DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Vann, Justin Lee	DOIID	812488	NAIC NPN	16983971

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Personal Lines	6/14/2013		5/31/2025
Pending Replacement	Non Resident	Agent	Life	2/3/2017		5/31/2025
Active	Non Resident	Staff Adjuster	Property & Casualty	11/20/2023		5/31/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	03/15/2025	05/31/2025
Staff Adjuster	03/15/2025	05/31/2025	03/24/2025	03/24/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	2/7/2017	11/6/2023
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	2/7/2017	11/6/2023
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Personal Lines	7/2/2013	11/6/2023
Inactive	Progressive Casualty Insurance Company	300696	Agent - Personal Lines	8/15/2014	10/30/2023
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Personal Lines	8/7/2023	12/8/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Nationwide Sales Solutions Inc	631821	Agent - Personal Lines	7/2/2013	10/19/2023