DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

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
Pending Replacement	Non Resident	Agent	Health	3/8/2023		5/31/2025
Pending Replacement	Non Resident	Agent	Property	3/8/2023		5/31/2025
Pending Replacement	Non Resident	Agent	Life	3/8/2023		5/31/2025
Pending Replacement	Non Resident	Agent	Casualty	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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	03/15/2025	05/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	Aetna Health Inc. (PA)	660717	Agent - Health	3/10/2023
Pending Replacement	Aetna Health of Ohio Inc.	1065035	Agent - Health	3/10/2023
Pending Replacement	Aetna Life Insurance Company	301140	Agent - Health	3/10/2023
Inactive	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	11/20/2024	12/23/2024
Inactive	American Modern Property and Casualty Insurance Company	301954	Agent - Property	11/20/2024	12/23/2024
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
Pending Replacement	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