DEPARTMENT OF INSURANCE
Affiliations
NameTribbett, Jay DouglasDOIID861750NAIC NPN7942921
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife11/22/2014 9/30/2025
ActiveNon ResidentAgentProperty11/22/2014 9/30/2025
ActiveNon ResidentAgentCasualty11/22/2014 9/30/2025
ActiveNon ResidentAgentHealth11/22/2014 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
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent07/15/202509/30/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican Economy Insurance Company300315Agent - Casualty11/9/20195/27/2022
InactiveAmerican Economy Insurance Company300315Agent - Property11/9/20195/27/2022
ActiveAuto-Owners Insurance Company301480Agent - Casualty12/12/2024 
ActiveAuto-Owners Insurance Company301480Agent - Property12/12/2024 
ActiveAuto-Owners Life Insurance Company301368Agent - Life12/12/2024 
InactiveBristol West Insurance Company301655Agent - Casualty6/14/20168/15/2024
InactiveBristol West Insurance Company301655Agent - Property6/14/20168/15/2024
InactiveErie Family Life Insurance Company301400Agent - Life12/2/20142/9/2023
InactiveErie Insurance Company300230Agent - Casualty12/2/20142/9/2023
InactiveErie Insurance Company300230Agent - Property12/2/20142/9/2023
InactiveErie Insurance Company of New York789916Agent - Casualty9/25/20152/9/2023
InactiveErie Insurance Company of New York789916Agent - Property9/25/20152/9/2023
InactiveErie Insurance Exchange300789Agent - Casualty12/2/20142/9/2023
InactiveErie Insurance Exchange300789Agent - Property12/2/20142/9/2023
InactiveErie Insurance Property & Casualty Company789942Agent - Casualty9/25/20152/9/2023
InactiveErie Insurance Property & Casualty Company789942Agent - Property9/25/20152/9/2023
InactiveFlagship City Insurance Company789965Agent - Casualty9/25/20152/9/2023
InactiveFlagship City Insurance Company789965Agent - Property9/25/20152/9/2023
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty1/27/2025 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property1/27/2025 
InactiveGrange Indemnity Insurance Company300793Agent - Casualty10/21/201912/28/2020
InactiveGrange Indemnity Insurance Company300793Agent - Property10/21/201912/28/2020
InactiveGrange Insurance Company300234Agent - Casualty10/21/201912/28/2020
InactiveGrange Insurance Company300234Agent - Property10/21/201912/28/2020
InactiveGrange Property & Casualty Insurance Company601680Agent - Casualty10/21/201912/28/2020
InactiveGrange Property & Casualty Insurance Company601680Agent - Property10/21/201912/28/2020
ActiveOwners Insurance Company300796Agent - Casualty12/12/2024 
ActiveOwners Insurance Company300796Agent - Property12/12/2024 
InactiveSAFECO Insurance Company of America300159Agent - Casualty1/5/20153/29/2024
InactiveSAFECO Insurance Company of America300159Agent - Property1/5/20153/29/2024
InactiveSAFECO Insurance Company of Illinois301350Agent - Casualty1/5/201510/15/2021
InactiveSAFECO Insurance Company of Illinois301350Agent - Property1/5/201510/15/2021
InactiveState Automobile Mutual Insurance Company301824Agent - Casualty11/17/201512/16/2021
InactiveState Automobile Mutual Insurance Company301824Agent - Property11/17/201512/16/2021
InactiveTrustgard Insurance Company300104Agent - Casualty10/21/201912/28/2020
InactiveTrustgard Insurance Company300104Agent - Property10/21/201912/28/2020
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
DeniedTribbett-Rich Insurance Group LLC862100Agent - Health  
InactiveTribbett-Rich Insurance Group LLC862100Agent - Casualty6/23/20223/31/2024
InactiveTribbett-Rich Insurance Group LLC862100Agent - Life6/23/20223/31/2024
InactiveTribbett-Rich Insurance Group LLC862100Agent - Property6/23/20223/31/2024

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