DEPARTMENT OF INSURANCE

Affiliations

Name	Polk, Jeremy	DOIID	880339	NAIC NPN	17591824

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	6/12/2015	6/30/2027
Active	Non Resident	Agent	Casualty	6/12/2015	6/30/2027
* 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	04/15/2025	06/30/2025	05/16/2025	05/16/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Argonaut Insurance Company	301422	Agent - Casualty	6/16/2016	8/23/2024
Inactive	Argonaut Insurance Company	301422	Agent - Property	6/16/2016	8/23/2024
Active	Continental Indemnity Company	301905	Agent - Casualty	5/9/2024
Active	Continental Indemnity Company	301905	Agent - Property	5/9/2024
Active	Evergreen National Indemnity Company	300146	Agent - Casualty	3/16/2020
Active	Evergreen National Indemnity Company	300146	Agent - Property	3/16/2020
Active	Hartford Fire Insurance Company	300628	Agent - Casualty	3/15/2022
Active	Hartford Fire Insurance Company	300628	Agent - Property	3/15/2022
Active	Liberty Mutual Insurance Company	301159	Agent - Casualty	7/29/2015
Active	Pennsylvania Insurance Company	301219	Agent - Casualty	5/9/2024
Active	Pennsylvania Insurance Company	301219	Agent - Property	5/9/2024
Active	RLI Insurance Company	301217	Agent - Casualty	5/13/2024
Active	RLI Insurance Company	301217	Agent - Property	5/13/2024
Active	SiriusPoint America Insurance Company	301148	Agent - Casualty	5/8/2024
Active	SiriusPoint America Insurance Company	301148	Agent - Property	5/8/2024
Active	Swiss Re Corporate Solutions America Insurance Corporation	300338	Agent - Casualty	4/19/2019
Active	Swiss Re Corporate Solutions America Insurance Corporation	300338	Agent - Property	4/19/2019
Active	Travelers Casualty and Surety Company of America	301334	Agent - Casualty	10/15/2015
Active	Travelers Casualty and Surety Company of America	301334	Agent - Property	10/15/2015
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	7/23/2015	7/31/2015
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	7/23/2015	7/31/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	USI Insurance Services National, Inc	509421	Agent - Property	2/20/2017	10/9/2019
Inactive	USI Insurance Services National, Inc	509421	Agent - Casualty	7/23/2015	10/9/2019
Active	Usi Insurance Services LLC	669260	Agent - Property	1/8/2019
Active	Usi Insurance Services LLC	669260	Agent - Casualty	1/8/2019