DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Berry, Jedediah D	DOIID	903952	NAIC NPN	5781521

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	3/25/2024		10/31/2025
Active	Non Resident	Agent	Casualty	3/25/2024		10/31/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	5/1/2024		10/31/2025
* 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	Employers Insurance Company of Wausau	301813	Agent - Casualty	7/6/2017	12/5/2022
Inactive	Employers Insurance Company of Wausau	301813	Agent - Property	7/6/2017	12/5/2022
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	7/6/2017	12/5/2022
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Property	7/6/2017	12/5/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Marsh USA LLC.	514638	Agent - Property	2/20/2019	12/5/2022
Inactive	Marsh USA LLC.	514638	Agent - Casualty	2/20/2019	12/5/2022
Pending	Tango Specialty Insurance Services LLC	722327	Agent - Property
Pending	Tango Specialty Insurance Services LLC	722327	Agent - Casualty