DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Chavez, Jasmine	DOIID	879721	NAIC NPN	17587258

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	2/13/2024		5/31/2026
Active	Non Resident	Agent	Casualty	2/13/2024		5/31/2026
Inactive	Non Resident	Agent	Personal Lines	6/4/2015	5/31/2018
* 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
Inactive	Nationwide General Insurance Company	300603	Agent - Personal Lines	6/11/2015	7/20/2015
Inactive	Nationwide Insurance Company of America	300333	Agent - Personal Lines	6/11/2015	7/20/2015
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Personal Lines	7/20/2015	8/26/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Nationwide Sales Solutions Inc	631821	Agent - Personal Lines	7/7/2015	8/26/2015