DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Jackson, Brian	DOIID	956384	NAIC NPN	18426169

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	6/5/2017		7/31/2025
Active	Non Resident	Agent	Casualty	6/5/2017		7/31/2025
* 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
Active	American Modern Home Insurance Company	300791	Agent - Casualty	8/2/2017
Active	American Modern Home Insurance Company	300791	Agent - Property	8/2/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Embrace Pet Ins LLC	723377	Agent - Property	8/16/2019
Active	Embrace Pet Ins LLC	723377	Agent - Casualty	8/16/2019