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DEPARTMENT OF INSURANCE
Affiliations
Name
Phommalinh, Jack Tay
DOIID
908947
NAIC NPN
16630393
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Non Resident
Agent
Property
3/7/2016
9/30/2024
Active
Non Resident
Agent
Casualty
3/7/2016
9/30/2024
* 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
07/15/2024
09/30/2024
Appointments with the following Insurers
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
ACUITY, A Mutual Insurance Company
300095
Agent - Casualty
6/29/2022
8/12/2022
Inactive
ACUITY, A Mutual Insurance Company
300095
Agent - Property
6/29/2022
8/12/2022
Inactive
American Economy Insurance Company
300315
Agent - Casualty
2/5/2020
5/16/2022
Inactive
American Economy Insurance Company
300315
Agent - Property
2/5/2020
5/16/2022
Inactive
American Fire and Casualty Company
300567
Agent - Casualty
3/22/2016
1/3/2019
Inactive
American Fire and Casualty Company
300567
Agent - Property
3/22/2016
1/3/2019
Inactive
Consolidated Insurance Company
300943
Agent - Casualty
3/22/2016
1/3/2019
Inactive
Consolidated Insurance Company
300943
Agent - Property
3/22/2016
1/3/2019
Inactive
Employers Insurance Company of Wausau
301813
Agent - Casualty
3/22/2016
1/3/2019
Inactive
Employers Insurance Company of Wausau
301813
Agent - Property
3/22/2016
1/3/2019
Inactive
First Liberty Insurance Corporation (The)
301060
Agent - Casualty
3/22/2016
1/3/2019
Inactive
First Liberty Insurance Corporation (The)
301060
Agent - Property
3/22/2016
1/3/2019
Inactive
Hartford Accident and Indemnity Company
301917
Agent - Casualty
8/4/2016
12/13/2017
Inactive
Hartford Accident and Indemnity Company
301917
Agent - Property
8/4/2016
12/13/2017
Inactive
Indiana Insurance Company
301909
Agent - Casualty
3/22/2016
1/3/2019
Inactive
Indiana Insurance Company
301909
Agent - Property
3/22/2016
1/3/2019
Inactive
LM Insurance Corporation
301061
Agent - Casualty
3/22/2016
1/3/2019
Inactive
LM Insurance Corporation
301061
Agent - Property
3/22/2016
1/3/2019
Inactive
Liberty Insurance Corporation
300444
Agent - Casualty
3/22/2016
1/3/2019
Inactive
Liberty Insurance Corporation
300444
Agent - Property
3/22/2016
1/3/2019
Inactive
Liberty Mutual Fire Insurance Company
301913
Agent - Casualty
3/22/2016
1/3/2019
Inactive
Liberty Mutual Fire Insurance Company
301913
Agent - Property
3/22/2016
1/3/2019
Inactive
Liberty Mutual Insurance Company
301159
Agent - Casualty
3/22/2016
1/3/2019
Inactive
Liberty Mutual Insurance Company
301159
Agent - Property
3/22/2016
1/3/2019
Inactive
Netherlands Insurance Company (The)
300339
Agent - Casualty
3/22/2016
1/3/2019
Inactive
Netherlands Insurance Company (The)
300339
Agent - Property
3/22/2016
1/3/2019
Inactive
Ohio Casualty Insurance Company
301492
Agent - Casualty
3/22/2016
1/3/2019
Inactive
Ohio Casualty Insurance Company
301492
Agent - Property
3/22/2016
1/3/2019
Inactive
Ohio Security Insurance Company
300622
Agent - Casualty
3/22/2016
1/3/2019
Inactive
Ohio Security Insurance Company
300622
Agent - Property
3/22/2016
1/3/2019
Inactive
Peerless Indemnity Insurance Company
571682
Agent - Casualty
3/22/2016
1/3/2019
Inactive
Peerless Indemnity Insurance Company
571682
Agent - Property
3/22/2016
1/3/2019
Inactive
Peerless Insurance Company
301910
Agent - Casualty
3/22/2016
1/3/2019
Inactive
Peerless Insurance Company
301910
Agent - Property
3/22/2016
1/3/2019
Inactive
Progressive Casualty Insurance Company
300696
Agent - Casualty
2/16/2021
10/30/2023
Inactive
Progressive Casualty Insurance Company
300696
Agent - Property
2/16/2021
10/30/2023
Inactive
SAFECO Insurance Company of America
300159
Agent - Casualty
2/5/2020
5/16/2022
Inactive
SAFECO Insurance Company of America
300159
Agent - Property
2/5/2020
5/16/2022
Inactive
SAFECO Insurance Company of Illinois
301350
Agent - Casualty
2/5/2020
5/16/2022
Inactive
SAFECO Insurance Company of Illinois
301350
Agent - Property
2/5/2020
5/16/2022
Inactive
United Financial Casualty Company
301886
Agent - Casualty
2/16/2021
10/30/2023
Inactive
United Financial Casualty Company
301886
Agent - Property
2/16/2021
10/30/2023
Inactive
West American Insurance Company
301112
Agent - Casualty
3/22/2016
1/3/2019
Inactive
West American Insurance Company
301112
Agent - Property
3/22/2016
1/3/2019
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Apollo Brokers, Inc.
1089192
Agent - Property
8/30/2022
4/25/2023
Inactive
Apollo Brokers, Inc.
1089192
Agent - Casualty
8/30/2022
4/25/2023
Inactive
Paychex Insurance Agency Inc
509469
Agent - Property
3/22/2016
11/20/2018
Inactive
Paychex Insurance Agency Inc
509469
Agent - Casualty
3/22/2016
11/20/2018
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