DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Donica, Jerilyn	DOIID	943035	NAIC NPN	18293277

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Limited Line Credit	1/25/2017	10/31/2023
* 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	American National Insurance Company	301861	Agent - Limited Line Credit	2/2/2017	2/14/2023
Inactive	American National Property and Casualty Company	300392	Agent - Limited Line Credit	2/2/2017	2/14/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Square Lending LLC	900851	Agent - Limited Line Credit	2/2/2017	2/14/2023