DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Phothirath, Jenny Rose Belen	DOIID	964428	NAIC NPN	18493418

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	8/19/2017	11/30/2019
Inactive	Non Resident	Agent	Casualty	8/19/2017	11/30/2019
* 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	Arch Insurance Company	300688	Agent - Casualty	5/15/2018	4/25/2019
Inactive	Arch Insurance Company	300688	Agent - Property	5/15/2018	4/25/2019
Inactive	Argonaut Insurance Company	301422	Agent - Casualty	7/2/2018	5/30/2019
Inactive	Argonaut Insurance Company	301422	Agent - Property	7/2/2018	5/30/2019
Inactive	Atlantic Specialty Insurance Company	518595	Agent - Casualty	6/20/2018	11/30/2019
Inactive	Atlantic Specialty Insurance Company	518595	Agent - Property	6/20/2018	11/30/2019
Inactive	Harco National Insurance Company	300706	Agent - Casualty	3/13/2019	12/5/2019
Inactive	International Fidelity Insurance Company	301131	Agent - Casualty	7/10/2018	12/5/2019
Inactive	Zurich American Insurance Company	301121	Agent - Casualty	8/28/2017	4/4/2019
Inactive	Zurich American Insurance Company	301121	Agent - Property	8/28/2017	4/4/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Willis of Connecticut LLC	566166	Agent - Property	8/31/2017	12/30/2019
Inactive	Willis of Connecticut LLC	566166	Agent - Casualty	8/31/2017	12/30/2019