DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Ferguson, Jeremy	DOIID	840170	NAIC NPN	16471094

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	3/8/2023		5/31/2025
Active	Non Resident	Agent	Casualty	3/8/2023		5/31/2025
Active	Non Resident	Agent	Life	3/8/2023		5/31/2025
Active	Non Resident	Agent	Property	3/8/2023		5/31/2025
* 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
Active	Aetna Health Inc. (PA)	660717	Agent - Health	3/10/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	3/10/2023
Active	Aetna Life Insurance Company	301140	Agent - Health	3/10/2023
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	9/3/2015	5/31/2017
Inactive	Bristol West Insurance Company	301655	Agent - Property	9/3/2015	5/31/2017
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	9/3/2015	5/31/2017
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	9/3/2015	5/31/2017
Active	SilverScript Insurance Company	663526	Agent - Health	3/10/2023
Inactive	Trexis Insurance Corporation	599902	Agent - Casualty	8/18/2014	5/31/2015
Inactive	Trexis One Insurance Corporation	684197	Agent - Casualty	10/17/2014	5/31/2015
Inactive	Western Surety Company	300283	Agent - Casualty	8/7/2015	5/31/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Safe Harbor Insurance Services LLC	873954	Agent - Property	4/3/2015	5/31/2015
Inactive	Safe Harbor Insurance Services LLC	873954	Agent - Casualty	4/3/2015	5/31/2015