DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Hollingsworth, Jeremiah J	DOIID	912691	NAIC NPN	5967559

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	4/15/2016	3/31/2025
Inactive	Non Resident	Agent	Crop	4/15/2016	3/31/2025
Inactive	Non Resident	Agent	Casualty	4/15/2016	3/31/2025
* 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	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	4/20/2016	5/14/2025
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Property	4/20/2016	5/14/2025
Inactive	American Agri-Business Insurance Company	634731	Agent - Casualty	12/28/2020	10/3/2023
Inactive	American Agri-Business Insurance Company	634731	Agent - Crop	12/28/2020	10/3/2023
Inactive	American Agri-Business Insurance Company	634731	Agent - Property	12/28/2020	10/3/2023
Inactive	CGB Insurance Company	559048	Agent - Casualty	10/25/2016	12/28/2020
Inactive	CGB Insurance Company	559048	Agent - Crop	10/25/2016	12/28/2020
Inactive	CGB Insurance Company	559048	Agent - Property	10/25/2016	12/28/2020
Inactive	Farmers Mutual Hail Insurance Company of Iowa	300489	Agent - Crop	10/27/2017	10/26/2020
Inactive	Rural Community Insurance Company	301891	Agent - Crop	11/19/2019	2/19/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	White And Assoc Ins Agency Inc	559758	Agent - Property	5/31/2016	3/31/2025
Inactive	White And Assoc Ins Agency Inc	559758	Agent - Casualty	5/31/2016	3/31/2025
Denied	White And Assoc Ins Agency Inc	559758	Agent - Crop