DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Jones, Samir R	DOIID	990913	NAIC NPN	18750790

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	4/13/2018	3/31/2023
Inactive	Non Resident	Agent	Casualty	4/13/2018	3/31/2023
* 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	American Economy Insurance Company	300315	Agent - Casualty	2/10/2020	12/29/2022
Inactive	American Economy Insurance Company	300315	Agent - Property	2/10/2020	12/29/2022
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	2/20/2020	1/11/2023
Inactive	Bristol West Insurance Company	301655	Agent - Property	2/20/2020	1/11/2023
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	2/20/2020	1/11/2023
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	2/20/2020	1/11/2023
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	2/10/2020	12/29/2022
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	2/10/2020	12/29/2022
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	2/10/2020	12/29/2022
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	2/10/2020	12/29/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Elite Insurance Group, Inc	1068895	Agent - Casualty	6/2/2020	1/11/2023
Inactive	Elite Insurance Group, Inc	1068895	Agent - Property	6/2/2020	1/11/2023