DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Jackson, Elisabeth M	DOIID	954205	NAIC NPN	6887544

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	5/15/2017	8/31/2019
Inactive	Non Resident	Agent	Personal Lines	5/15/2017	8/31/2019
Inactive	Non Resident	Agent	Casualty	5/15/2017	8/31/2019
* 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	NCMIC Insurance Company	301007	Agent - Casualty	5/18/2017	3/6/2019
Inactive	NCMIC Insurance Company	301007	Agent - Personal Lines	5/18/2017	3/6/2019
Inactive	NCMIC Insurance Company	301007	Agent - Property	5/18/2017	3/6/2019
Inactive	Professional Solutions Insurance Company	569414	Agent - Casualty	5/18/2017	3/5/2019
Inactive	Professional Solutions Insurance Company	569414	Agent - Personal Lines	5/18/2017	3/5/2019
Inactive	Professional Solutions Insurance Company	569414	Agent - Property	5/18/2017	3/5/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	NCMIC Insurance Services, Inc.	399052	Agent - Property	6/12/2017	1/31/2019
Inactive	NCMIC Insurance Services, Inc.	399052	Agent - Casualty	6/12/2017	1/31/2019
Inactive	NCMIC Insurance Services, Inc.	399052	Agent - Personal Lines	6/12/2017	1/31/2019
Inactive	Professional Solutions Insurance Services, Inc	631015	Agent - Property	6/12/2017	1/31/2019
Inactive	Professional Solutions Insurance Services, Inc	631015	Agent - Casualty	6/12/2017	1/31/2019