DEPARTMENT OF INSURANCE

Affiliations

Name	Jacobs, Melissa Sue	DOIID	827416	NAIC NPN	7099996

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	11/13/2013	10/31/2024
Active	Non Resident	Agent	Property	11/13/2013	10/31/2024
* 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	08/15/2024	10/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	AIG Property Casualty Company	300621	Agent - Casualty	5/4/2018
Active	AIG Property Casualty Company	300621	Agent - Property	5/4/2018
Active	American Economy Insurance Company	300315	Agent - Casualty	11/9/2019
Active	American Economy Insurance Company	300315	Agent - Property	11/9/2019
Active	American Fire and Casualty Company	300567	Agent - Casualty	6/3/2014
Active	American Fire and Casualty Company	300567	Agent - Property	6/3/2014
Active	Auto-Owners Insurance Company	301480	Agent - Casualty	6/20/2014
Active	Auto-Owners Insurance Company	301480	Agent - Property	6/20/2014
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	6/3/2014	4/26/2024
Inactive	Consolidated Insurance Company	300943	Agent - Property	6/3/2014	4/26/2024
Inactive	Indiana Insurance Company	301909	Agent - Casualty	6/3/2014	2/3/2023
Inactive	Indiana Insurance Company	301909	Agent - Property	6/3/2014	2/3/2023
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	6/3/2014	4/26/2024
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	6/3/2014	4/26/2024
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	6/3/2014
Active	Ohio Casualty Insurance Company	301492	Agent - Property	6/3/2014
Active	Ohio Security Insurance Company	300622	Agent - Casualty	6/3/2014
Active	Ohio Security Insurance Company	300622	Agent - Property	6/3/2014
Active	Peerless Indemnity Insurance Company	571682	Agent - Casualty	6/3/2014
Active	Peerless Indemnity Insurance Company	571682	Agent - Property	6/3/2014
Active	Peerless Insurance Company	301910	Agent - Casualty	6/3/2014
Active	Peerless Insurance Company	301910	Agent - Property	6/3/2014
Active	Privilege Underwriters Reciprocal Exchange	769657	Agent - Casualty	6/25/2018
Active	Privilege Underwriters Reciprocal Exchange	769657	Agent - Property	6/25/2018
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	6/3/2014
Active	SAFECO Insurance Company of America	300159	Agent - Property	6/3/2014
Active	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	6/3/2014
Active	SAFECO Insurance Company of Illinois	301350	Agent - Property	6/3/2014
Active	West American Insurance Company	301112	Agent - Casualty	6/3/2014
Active	West American Insurance Company	301112	Agent - Property	6/3/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Mcgriff Insurance Services, LLC	400877	Agent - Property	6/3/2014
Active	Mcgriff Insurance Services, LLC	400877	Agent - Casualty	6/3/2014