DEPARTMENT OF INSURANCE

Affiliations

Name	Gibson, Jason L	DOIID	930352	NAIC NPN	17064654

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	9/22/2016	2/28/2022
Inactive	Non Resident	Agent	Health	9/22/2016	2/28/2022
Inactive	Non Resident	Agent	Life	9/22/2016	2/28/2022
Inactive	Non Resident	Agent	Casualty	9/22/2016	2/28/2022
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	10/9/2017	7/9/2020
* 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 American Insurance Company	300625	Agent - Casualty	4/27/2018	8/26/2020
Inactive	ACE American Insurance Company	300625	Agent - Property	4/27/2018	8/26/2020
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Casualty	4/27/2018	8/26/2020
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Property	4/27/2018	8/26/2020
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	4/27/2018	8/26/2020
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Property	4/27/2018	8/26/2020
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	7/10/2019	7/14/2020
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	7/10/2019	7/14/2020
Inactive	American Economy Insurance Company	300315	Agent - Casualty	11/8/2019	9/2/2020
Inactive	American Economy Insurance Company	300315	Agent - Property	11/8/2019	9/2/2020
Inactive	Bankers Standard Insurance Company	301620	Agent - Casualty	4/27/2018	8/26/2020
Inactive	Bankers Standard Insurance Company	301620	Agent - Property	4/27/2018	8/26/2020
Inactive	Chubb Indemnity Insurance Company	300438	Agent - Casualty	4/27/2018	8/26/2020
Inactive	Chubb Indemnity Insurance Company	300438	Agent - Property	4/27/2018	8/26/2020
Inactive	Chubb National Insurance Company	301392	Agent - Casualty	4/27/2018	8/26/2020
Inactive	Chubb National Insurance Company	301392	Agent - Property	4/27/2018	8/26/2020
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Casualty	12/6/2016	8/22/2019
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Property	12/6/2016	8/22/2019
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	12/22/2017	8/22/2019
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	12/22/2017	8/22/2019
Inactive	Federal Insurance Company	301144	Agent - Casualty	4/27/2018	8/26/2020
Inactive	Federal Insurance Company	301144	Agent - Property	4/27/2018	8/26/2020
Inactive	Great Northern Insurance Company	301107	Agent - Casualty	4/27/2018	8/26/2020
Inactive	Great Northern Insurance Company	301107	Agent - Property	4/27/2018	8/26/2020
Inactive	Pacific Employers Insurance Company	301753	Agent - Casualty	4/27/2018	8/26/2020
Inactive	Pacific Employers Insurance Company	301753	Agent - Property	4/27/2018	8/26/2020
Inactive	Pacific Indemnity Company	301610	Agent - Casualty	4/27/2018	8/26/2020
Inactive	Pacific Indemnity Company	301610	Agent - Property	4/27/2018	8/26/2020
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	2/15/2017	9/2/2020
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	2/15/2017	9/2/2020
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	2/15/2017	9/2/2020
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	2/15/2017	9/2/2020
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	8/6/2018	8/20/2020
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	8/6/2018	8/20/2020
Inactive	Vigilant Insurance Company	301143	Agent - Casualty	4/27/2018	8/26/2020
Inactive	Vigilant Insurance Company	301143	Agent - Property	4/27/2018	8/26/2020
Inactive	Westchester Fire Insurance Company	300990	Agent - Casualty	4/27/2018	8/26/2020
Inactive	Westchester Fire Insurance Company	300990	Agent - Property	4/27/2018	8/26/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mylo LLC	973654	Agent - Casualty	10/23/2017	4/21/2020
Inactive	Mylo LLC	973654	Agent - Property	10/23/2017	4/23/2020
Inactive	Mylo LLC	973654	Agent - Life	10/23/2017	4/21/2020
Inactive	Mylo LLC	973654	Agent - Health	10/23/2017	4/23/2020
Inactive	Mylo LLC	973654	Surplus Lines Broker - Not Applicable	10/23/2017	4/21/2020