DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Acrisure Jma Ins Agency LLC	DOIID	979884	NAIC NPN	18544586

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	12/20/2017		3/31/2025
Active	Non Resident	Agent	Health	12/20/2017		3/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2025	03/31/2025

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Kolenda, Courtney Lynne	1022910	Agent - Health	6/6/2019
Active	Kolenda, Courtney Lynne	1022910	Agent - Life	7/1/2019
Inactive	Parker, William L	511526	Agent - Health	12/20/2017	1/22/2020
Inactive	Parker, William L	511526	Agent - Life	12/20/2017	1/22/2020