DEPARTMENT OF INSURANCE

Affiliations

Name	Medina, Jeffrey James	DOIID	836654	NAIC NPN	3179778

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	4/7/2020	12/31/2022
Inactive	Non Resident	Agent	Casualty	4/7/2020	12/31/2022
* 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 Economy Insurance Company	300315	Agent - Casualty	5/11/2020	12/31/2022
Inactive	American Economy Insurance Company	300315	Agent - Property	5/11/2020	12/31/2022
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	3/5/2018	10/2/2018
Inactive	Bristol West Insurance Company	301655	Agent - Property	3/5/2018	10/2/2018
Inactive	Crum & Forster Indemnity Company	582241	Agent - Casualty	4/27/2020	12/31/2022
Inactive	Crum & Forster Indemnity Company	582241	Agent - Property	4/27/2020	12/31/2022
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	4/3/2018	12/31/2018
Inactive	Dairyland Insurance Company	301370	Agent - Property	4/3/2018	12/31/2018
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	3/8/2017	12/31/2018
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Property	3/8/2017	12/31/2018
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	4/30/2020	7/29/2022
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	4/30/2020	7/29/2022
Inactive	LM General Insurance Company	300133	Agent - Casualty	3/8/2017	12/31/2018
Inactive	LM General Insurance Company	300133	Agent - Property	3/8/2017	12/31/2018
Inactive	LM Insurance Corporation	301061	Agent - Casualty	3/8/2017	12/31/2018
Inactive	LM Insurance Corporation	301061	Agent - Property	3/8/2017	12/31/2018
Inactive	Liberty Insurance Corporation	300444	Agent - Casualty	3/8/2017	12/31/2018
Inactive	Liberty Insurance Corporation	300444	Agent - Property	3/8/2017	12/31/2018
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	3/8/2017	12/31/2018
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Property	3/8/2017	12/31/2018
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	3/8/2017	12/31/2018
Inactive	Liberty Mutual Insurance Company	301159	Agent - Property	3/8/2017	12/31/2018
Inactive	North River Insurance Company (The)	301739	Agent - Casualty	4/27/2020	12/31/2022
Inactive	North River Insurance Company (The)	301739	Agent - Property	4/27/2020	12/31/2022
Inactive	Permanent General Assurance Corporation of Ohio	709250	Agent - Casualty	5/21/2018	12/31/2018
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	5/11/2020	12/31/2022
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	5/11/2020	12/31/2022
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	5/11/2020	12/31/2022
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	5/11/2020	12/31/2022
Inactive	United States Fire Insurance Company	582240	Agent - Casualty	4/27/2020	12/31/2022
Inactive	United States Fire Insurance Company	582240	Agent - Property	4/27/2020	12/31/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Insurancezebra Inc	794167	Agent - Property	1/28/2017	12/31/2018
Inactive	Insurancezebra Inc	794167	Agent - Casualty	1/28/2017	12/31/2018
Inactive	Roamly Insurance Group, LLC	1066434	Agent - Property	4/27/2020	8/3/2022
Inactive	Roamly Insurance Group, LLC	1066434	Agent - Casualty	4/27/2020	8/3/2022