DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Bosley, Jeffrey	DOIID	960049	NAIC NPN	17637062

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	7/13/2017	6/17/2019
Inactive	Non Resident	Agent	Property	7/13/2017	6/17/2019
* 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	LM General Insurance Company	300133	Agent - Casualty	8/11/2017	9/8/2017
Inactive	LM General Insurance Company	300133	Agent - Property	8/11/2017	9/8/2017
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	7/21/2017	9/11/2017
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	7/21/2017	9/11/2017
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	7/21/2017	9/11/2017
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	7/21/2017	9/11/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Paul Moss Insurance Agency LLC	833857	Agent - Property	7/21/2017	9/1/2017
Inactive	Paul Moss Insurance Agency LLC	833857	Agent - Casualty	7/21/2017	9/1/2017