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.

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
Active	Bristol West Insurance Company	301655	Agent - Casualty	10/17/2016
Active	Bristol West Insurance Company	301655	Agent - Property	10/17/2016
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