DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Anderson, Jeffrey	DOIID	915266	NAIC NPN	8635396

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	9/12/2018		1/31/2027
Active	Non Resident	Agent	Property	9/12/2018		1/31/2027
Active	Non Resident	Surplus Lines Broker	Not Applicable	12/15/2018		1/31/2027
* 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	11/15/2026	01/31/2027
Surplus Lines Broker	11/15/2026	01/31/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	SiriusPoint America Insurance Company	301148	Agent - Casualty	3/4/2025
Active	SiriusPoint America Insurance Company	301148	Agent - Property	3/4/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Preferred Concepts LLC	592889	Surplus Lines Broker - Not Applicable	1/4/2019
Active	Preferred Concepts LLC	592889	Agent - Property	5/16/2025
Active	Preferred Concepts LLC	592889	Agent - Casualty	5/16/2025