DEPARTMENT OF INSURANCE
Affiliations
NameBott, Jason TDOIID917835NAIC NPN7564338
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentProperty1/18/2019 7/31/2024
ActiveNon ResidentAgentCasualty1/18/2019 7/31/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent05/15/202407/31/2024   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveACUITY, A Mutual Insurance Company300095Agent - Casualty1/30/2024 
ActiveACUITY, A Mutual Insurance Company300095Agent - Property1/30/2024 
ActiveAIG Property Casualty Company300621Agent - Casualty2/13/2019 
ActiveAIG Property Casualty Company300621Agent - Property2/13/2019 
ActiveAmGUARD Insurance Company500010Agent - Casualty6/29/2021 
ActiveAmGUARD Insurance Company500010Agent - Property6/29/2021 
ActiveAuto-Owners Insurance Company301480Agent - Casualty6/6/2024 
ActiveAuto-Owners Insurance Company301480Agent - Property6/6/2024 
InactiveBrickStreet Mutual Insurance Company709251Agent - Casualty11/27/202111/27/2021
ActiveCincinnati Casualty Company (The)300308Agent - Casualty2/25/2019 
ActiveCincinnati Casualty Company (The)300308Agent - Property2/25/2019 
ActiveCincinnati Indemnity Company (The)301566Agent - Casualty2/25/2019 
ActiveCincinnati Indemnity Company (The)301566Agent - Property2/25/2019 
ActiveCincinnati Insurance Company301298Agent - Casualty2/22/2019 
ActiveCincinnati Insurance Company301298Agent - Property2/22/2019 
ActiveEMC Property & Casualty Company955217Agent - Casualty4/4/2023 
ActiveEMC Property & Casualty Company955217Agent - Property4/4/2023 
ActiveEMCASCO Insurance Company842790Agent - Casualty4/4/2023 
ActiveEMCASCO Insurance Company842790Agent - Property4/4/2023 
ActiveEmployers Mutual Casualty Company300202Agent - Casualty4/4/2023 
ActiveEmployers Mutual Casualty Company300202Agent - Property4/4/2023 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty6/14/2022 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property6/14/2022 
ActiveMount Vernon Fire Insurance Company301397Agent - Casualty2/19/2024 
ActiveMount Vernon Fire Insurance Company301397Agent - Property2/19/2024 
ActiveNorGUARD Insurance Company500015Agent - Casualty6/29/2021 
InactiveNorthStone Insurance Company818905Agent - Casualty11/27/202111/27/2021
ActiveOwners Insurance Company300796Agent - Casualty6/6/2024 
ActiveOwners Insurance Company300796Agent - Property6/6/2024 
InactivePinnaclePoint Insurance Company819085Agent - Casualty11/27/202111/27/2021
ActiveState Automobile Mutual Insurance Company301824Agent - Casualty2/1/2022 
ActiveState Automobile Mutual Insurance Company301824Agent - Property2/1/2022 
InactiveSummitPoint Insurance Company819084Agent - Casualty11/27/202111/27/2021
ActiveUnion Insurance Company of Providence842791Agent - Casualty4/4/2023 
ActiveUnion Insurance Company of Providence842791Agent - Property4/4/2023 
ActiveWest Bend Insurance Company672974Agent - Casualty8/24/2023 
ActiveWest Bend Insurance Company672974Agent - Property8/24/2023 
InactiveWestfield Insurance Company301950Agent - Casualty6/14/201610/17/2017
InactiveWestfield Insurance Company301950Agent - Property6/14/201610/17/2017
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveRobertson Ryan & Associates Inc584123Agent - Property2/13/2019 
ActiveRobertson Ryan & Associates Inc584123Agent - Casualty2/13/2019 

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