DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Jacques, Christian Michael	DOIID	819797	NAIC NPN	15035850

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	9/6/2013	8/31/2017
Inactive	Non Resident	Agent	Casualty	9/6/2013	8/31/2017
Active	Non Resident	Staff Adjuster	Property & Casualty	1/25/2023		8/31/2025
* 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
Staff Adjuster	06/15/2025	08/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	9/24/2013	10/26/2015
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	9/24/2013	10/26/2015
Inactive	United Financial Casualty Company	301886	Agent - Casualty	9/24/2013	10/26/2015
Inactive	United Financial Casualty Company	301886	Agent - Property	9/24/2013	10/26/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Brightway Insurance, LLC	773425	Agent - Property	9/27/2013	10/26/2015
Inactive	Brightway Insurance, LLC	773425	Agent - Casualty	9/27/2013	10/26/2015