DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Benjamin, Jeffrey L	DOIID	816270	NAIC NPN	17001811

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	8/2/2013	10/31/2021
Inactive	Non Resident	Agent	Casualty	8/2/2013	10/31/2021
* 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 Home Assurance Company	300246	Agent - Casualty	11/13/2015	10/31/2021
Inactive	American Home Assurance Company	300246	Agent - Property	11/13/2015	10/31/2021
Inactive	Granite State Insurance Company	300818	Agent - Casualty	11/13/2015	10/31/2021
Inactive	Granite State Insurance Company	300818	Agent - Property	11/13/2015	10/31/2021
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	11/13/2015	10/31/2021
Inactive	Illinois National Insurance Company	301367	Agent - Property	11/13/2015	10/31/2021
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	11/13/2015	10/31/2021
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	11/13/2015	10/31/2021
Inactive	New Hampshire Insurance Company	301670	Agent - Casualty	11/13/2015	10/31/2021
Inactive	New Hampshire Insurance Company	301670	Agent - Property	11/13/2015	10/31/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AmWins Program Underwriters, Inc	521669	Agent - Casualty	11/22/2017	10/31/2021
Inactive	AmWins Program Underwriters, Inc	521669	Agent - Property	11/22/2017	10/31/2021