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DEPARTMENT OF INSURANCE
Affiliations
Name
Willsey, Jacob M
DOIID
840013
NAIC NPN
17187672
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Non Resident
Agent
Casualty
5/5/2014
9/30/2025
Active
Non Resident
Agent
Property
5/5/2014
9/30/2025
* 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
Agent
07/15/2025
09/30/2025
Appointments with the following Insurers
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
American Fire and Casualty Company
300567
Agent - Casualty
11/21/2014
8/4/2016
Inactive
American Fire and Casualty Company
300567
Agent - Property
11/21/2014
8/4/2016
Inactive
Berkshire Hathaway Direct Insurance Company
300925
Agent - Casualty
3/31/2023
7/30/2024
Inactive
Berkshire Hathaway Direct Insurance Company
300925
Agent - Property
3/31/2023
7/30/2024
Inactive
Consolidated Insurance Company
300943
Agent - Casualty
11/21/2014
8/4/2016
Inactive
Consolidated Insurance Company
300943
Agent - Property
11/21/2014
8/4/2016
Inactive
Employers Insurance Company of Wausau
301813
Agent - Casualty
5/20/2014
8/4/2016
Inactive
Employers Insurance Company of Wausau
301813
Agent - Property
5/20/2014
8/4/2016
Inactive
First Liberty Insurance Corporation (The)
301060
Agent - Casualty
5/20/2014
8/4/2016
Inactive
First Liberty Insurance Corporation (The)
301060
Agent - Property
5/20/2014
8/4/2016
Inactive
Indiana Insurance Company
301909
Agent - Casualty
11/21/2014
8/4/2016
Inactive
Indiana Insurance Company
301909
Agent - Property
11/21/2014
8/4/2016
Inactive
LM Insurance Corporation
301061
Agent - Casualty
5/20/2014
8/4/2016
Inactive
LM Insurance Corporation
301061
Agent - Property
5/20/2014
8/4/2016
Inactive
Liberty Insurance Corporation
300444
Agent - Casualty
5/20/2014
8/4/2016
Inactive
Liberty Insurance Corporation
300444
Agent - Property
5/20/2014
8/4/2016
Inactive
Liberty Mutual Fire Insurance Company
301913
Agent - Casualty
5/20/2014
8/4/2016
Inactive
Liberty Mutual Fire Insurance Company
301913
Agent - Property
5/20/2014
8/4/2016
Inactive
Liberty Mutual Insurance Company
301159
Agent - Casualty
5/20/2014
8/4/2016
Inactive
Liberty Mutual Insurance Company
301159
Agent - Property
5/20/2014
8/4/2016
Inactive
National Liability & Fire Insurance Company
300213
Agent - Casualty
3/31/2023
7/30/2024
Inactive
National Liability & Fire Insurance Company
300213
Agent - Property
3/31/2023
7/30/2024
Inactive
National Specialty Insurance Company
300993
Agent - Casualty
6/14/2023
5/17/2024
Inactive
National Specialty Insurance Company
300993
Agent - Property
6/14/2023
5/17/2024
Inactive
Netherlands Insurance Company (The)
300339
Agent - Casualty
11/21/2014
8/4/2016
Inactive
Netherlands Insurance Company (The)
300339
Agent - Property
11/21/2014
8/4/2016
Inactive
Next Insurance US Company
1083825
Agent - Casualty
6/7/2023
5/16/2024
Inactive
Next Insurance US Company
1083825
Agent - Property
6/7/2023
5/16/2024
Inactive
Ohio Casualty Insurance Company
301492
Agent - Casualty
11/21/2014
8/4/2016
Inactive
Ohio Casualty Insurance Company
301492
Agent - Property
11/21/2014
8/4/2016
Inactive
Ohio Security Insurance Company
300622
Agent - Casualty
11/21/2014
8/4/2016
Inactive
Ohio Security Insurance Company
300622
Agent - Property
11/21/2014
8/4/2016
Inactive
Peerless Indemnity Insurance Company
571682
Agent - Casualty
11/21/2014
8/4/2016
Inactive
Peerless Indemnity Insurance Company
571682
Agent - Property
11/21/2014
8/4/2016
Inactive
Peerless Insurance Company
301910
Agent - Casualty
11/21/2014
8/4/2016
Inactive
Peerless Insurance Company
301910
Agent - Property
11/21/2014
8/4/2016
Inactive
SiriusPoint America Insurance Company
301148
Agent - Casualty
11/30/2022
6/6/2023
Inactive
SiriusPoint America Insurance Company
301148
Agent - Property
11/30/2022
6/6/2023
Active
Starr Indemnity and Liability Company
301685
Agent - Casualty
10/1/2018
Active
Starr Indemnity and Liability Company
301685
Agent - Property
10/1/2018
Inactive
State National Insurance Company, Inc.
300888
Agent - Casualty
6/14/2023
5/17/2024
Inactive
State National Insurance Company, Inc.
300888
Agent - Property
6/14/2023
5/17/2024
Inactive
Wausau Underwriters Insurance Company
301105
Agent - Casualty
5/20/2014
8/31/2015
Inactive
Wausau Underwriters Insurance Company
301105
Agent - Property
5/20/2014
8/31/2015
Inactive
Wellfleet Insurance Company
300542
Agent - Casualty
4/26/2023
8/7/2024
Inactive
Wellfleet Insurance Company
300542
Agent - Property
4/26/2023
8/7/2024
Inactive
Wellfleet New York Insurance Company
300245
Agent - Casualty
4/26/2023
8/7/2024
Inactive
Wellfleet New York Insurance Company
300245
Agent - Property
4/26/2023
8/7/2024
Inactive
West American Insurance Company
301112
Agent - Casualty
11/21/2014
8/4/2016
Inactive
West American Insurance Company
301112
Agent - Property
11/21/2014
8/4/2016
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Coverwallet Inc
906767
Agent - Property
11/19/2020
6/17/2022
Inactive
Coverwallet Inc
906767
Agent - Casualty
11/19/2020
6/17/2022
Inactive
Paychex Insurance Agency Inc
509469
Agent - Property
5/22/2014
8/3/2016
Inactive
Paychex Insurance Agency Inc
509469
Agent - Casualty
5/22/2014
8/3/2016
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