DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Adolphsen, Jennifer	DOIID	913078	NAIC NPN	5765887

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	4/20/2016		6/30/2027
Active	Non Resident	Agent	Casualty	4/20/2016		6/30/2027
Active	Non Resident	Surplus Lines Broker	Not Applicable	4/29/2016		6/30/2027
* 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	04/15/2025	06/30/2025	04/07/2025	04/07/2025	Yes
Surplus Lines Broker	04/15/2025	06/30/2025	04/07/2025	04/07/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Fireman's Fund Insurance Company	301423	Agent - Casualty	5/6/2016
Active	Fireman's Fund Insurance Company	301423	Agent - Property	5/6/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	CRC Ins Services, LLC	502276	Agent - Property	12/5/2022
Active	CRC Ins Services, LLC	502276	Agent - Casualty	12/5/2022
Active	CRC Ins Services, LLC	502276	Surplus Lines Broker - Not Applicable	12/5/2022
Inactive	Swett & Crawford Of Georgia Inc	670665	Agent - Property	5/6/2016	11/17/2017
Inactive	Swett & Crawford Of Georgia Inc	670665	Agent - Casualty	5/6/2016	11/17/2017
Inactive	Swett & Crawford Of Georgia Inc	670665	Surplus Lines Broker - Not Applicable	5/6/2016	11/17/2017