DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Jimenez, Juan	DOIID	852819	NAIC NPN	17368392

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Casualty	9/19/2014		7/31/2025
Pending Replacement	Non Resident	Agent	Property	9/19/2014		7/31/2025
* 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
Pending Replacement	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	12/6/2023
Pending Replacement	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	12/6/2023
Pending Replacement	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	5/8/2015
Pending Replacement	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	5/8/2015
Inactive	Safe Auto Insurance Company	300419	Agent - Casualty	2/21/2017	4/16/2024
Inactive	Safe Auto Insurance Company	300419	Agent - Property	2/21/2017	4/16/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Affinity Brokerage, LLC	544886	Agent - Property	11/16/2023	4/18/2024
Inactive	Affinity Brokerage, LLC	544886	Agent - Casualty	11/16/2023	4/18/2024
Inactive	CWI, LLC	662170	Agent - Property	11/16/2023	4/29/2024
Inactive	CWI, LLC	662170	Agent - Casualty	11/16/2023	4/29/2024
Inactive	Camping World Insurance Services of Kentucky, LLC	663187	Agent - Property	11/16/2023	4/18/2024
Inactive	Camping World Insurance Services of Kentucky, LLC	663187	Agent - Casualty	11/16/2023	4/18/2024
Inactive	Direct General Insurance Agency Inc	1018980	Agent - Property	10/21/2021	4/18/2024
Inactive	Direct General Insurance Agency Inc	1018980	Agent - Casualty	10/21/2021	4/18/2024
Inactive	National General Ins Marketing Inc	621228	Agent - Property	10/20/2021	5/7/2024
Inactive	National General Ins Marketing Inc	621228	Agent - Casualty	10/20/2021	5/7/2024
Inactive	Right Choice Ins Agency Inc	620070	Agent - Property	10/21/2021	3/31/2023
Inactive	Right Choice Ins Agency Inc	620070	Agent - Casualty	10/21/2021	3/31/2023
Pending Replacement	Safe Auto Group Agency Inc	557065	Agent - Property	2/22/2017
Pending Replacement	Safe Auto Group Agency Inc	557065	Agent - Casualty	2/22/2017