DEPARTMENT OF INSURANCE

Name	Jurcy, Melissa Ann	DOIID	558768	NAIC NPN	2121621

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Casualty	7/6/2010		5/31/2025
Active	Resident	Agent	Property	7/6/2010		5/31/2025
Inactive	Non Resident	Agent	Life	10/23/2002	7/31/2003
Inactive	Non Resident	Agent	Health	10/23/2002	7/31/2003

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

No License Renewal Information

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Business / Home Office	3178 Squire Cir Shelbyville, KY 400658589
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(312) 690-4122 Ext-249