DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Englebert, Jonathan Chase	DOIID	932451	NAIC NPN	18103173

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	10/11/2016		8/31/2026
Active	Non Resident	Agent	Property	10/11/2016		8/31/2026
Active	Non Resident	Agent	Health	10/11/2016		8/31/2026
* 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	06/15/2024	08/31/2024	07/17/2024	07/17/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AMEX Assurance Company	301728	Agent - Casualty	11/8/2016	9/15/2017
Inactive	AMEX Assurance Company	301728	Agent - Health	11/8/2016	9/15/2017
Inactive	AMEX Assurance Company	301728	Agent - Property	11/8/2016	9/15/2017
Active	American Family Connect Property and Casualty Insurance Company	622403	Agent - Casualty	12/6/2017
Active	American Family Connect Property and Casualty Insurance Company	622403	Agent - Property	12/6/2017
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	4/10/2023
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	4/10/2023
Active	Bristol West Insurance Company	301655	Agent - Casualty	5/18/2022
Active	Bristol West Insurance Company	301655	Agent - Property	5/18/2022
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	12/2/2017
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	12/2/2017
Active	Homesite Insurance Company	301139	Agent - Casualty	12/6/2017
Active	Homesite Insurance Company	301139	Agent - Property	12/6/2017
Active	Homesite Insurance Company of the Midwest	874850	Agent - Casualty	12/6/2017
Active	Homesite Insurance Company of the Midwest	874850	Agent - Property	12/6/2017
Active	Midvale Indemnity Company	300292	Agent - Casualty	4/19/2019
Active	Midvale Indemnity Company	300292	Agent - Property	4/19/2019
Active	RLI Insurance Company	301217	Agent - Casualty	11/29/2017
Active	RLI Insurance Company	301217	Agent - Property	11/29/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Alorica Customer Care, Inc.	800938	Agent - Casualty	11/8/2016	9/15/2017
Inactive	Alorica Customer Care, Inc.	800938	Agent - Property	11/8/2016	9/15/2017
Inactive	Alorica Customer Care, Inc.	800938	Agent - Health	11/8/2016	9/15/2017
Active	American Family Connect Insurance Agency, Inc.	619157	Agent - Casualty	11/29/2017
Active	American Family Connect Insurance Agency, Inc.	619157	Agent - Property	11/29/2017