DEPARTMENT OF INSURANCE

Affiliations

Name	Olsommer, Jeffrey H	DOIID	883652	NAIC NPN	2020525

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	7/17/2015	3/31/2026
Active	Non Resident	Agent	Property	7/17/2015	3/31/2026
Active	Non Resident	Agent	Health	9/6/2016	3/31/2026
Active	Non Resident	Agent	Life	9/6/2016	3/31/2026
* 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	01/15/2026	03/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Allied Eastern Indemnity Company	683842	Agent - Casualty	8/23/2016
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	10/17/2016	12/20/2024
Inactive	Bristol West Insurance Company	301655	Agent - Property	10/17/2016	12/20/2024
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	2/10/2017	12/27/2023
Inactive	Dairyland Insurance Company	301370	Agent - Property	2/10/2017	12/27/2023
Active	Eastern Advantage Assurance Company	692390	Agent - Casualty	8/23/2016
Active	Eastern Alliance Insurance Company	683841	Agent - Casualty	8/23/2016
Inactive	Erie Family Life Insurance Company	301400	Agent - Life	9/15/2016	7/8/2022
Inactive	Erie Insurance Company	300230	Agent - Casualty	9/15/2016	7/8/2022
Inactive	Erie Insurance Company	300230	Agent - Property	9/15/2016	7/8/2022
Inactive	Erie Insurance Company of New York	789916	Agent - Casualty	9/15/2016	7/8/2022
Inactive	Erie Insurance Company of New York	789916	Agent - Property	9/15/2016	7/8/2022
Inactive	Erie Insurance Exchange	300789	Agent - Casualty	9/15/2016	7/8/2022
Inactive	Erie Insurance Exchange	300789	Agent - Property	9/15/2016	7/8/2022
Inactive	Erie Insurance Property & Casualty Company	789942	Agent - Casualty	9/15/2016	7/8/2022
Inactive	Erie Insurance Property & Casualty Company	789942	Agent - Property	9/15/2016	7/8/2022
Inactive	Flagship City Insurance Company	789965	Agent - Casualty	9/15/2016	7/8/2022
Inactive	Flagship City Insurance Company	789965	Agent - Property	9/15/2016	7/8/2022
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	10/17/2016	12/20/2023
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	10/17/2016	12/20/2023
Active	Westfield Insurance Company	301950	Agent - Casualty	10/16/2018
Active	Westfield Insurance Company	301950	Agent - Property	10/16/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Olsommer-Clarke Ins Group Inc	920008	Agent - Property	7/1/2016
Active	Olsommer-Clarke Ins Group Inc	920008	Agent - Casualty	7/1/2016
Active	Olsommer-Clarke Ins Group Inc	920008	Agent - Life	9/7/2016
Active	Olsommer-Clarke Ins Group Inc	920008	Agent - Health	9/7/2016