DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Medina, Jessica	DOIID	982114	NAIC NPN	18245134

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	1/19/2018	6/30/2020
Inactive	Non Resident	Agent	Casualty	1/19/2018	6/30/2020
Active	Non Resident	Staff Adjuster	Property & Casualty	12/21/2021		6/30/2026
* 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
Staff Adjuster	04/15/2024	06/30/2024	04/22/2024	04/22/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	1/22/2018	4/2/2020
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	1/22/2018	4/2/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Nationwide Sales Solutions Inc	631821	Agent - Property	1/22/2018	4/2/2020
Inactive	Nationwide Sales Solutions Inc	631821	Agent - Casualty	1/22/2018	4/2/2020