DEPARTMENT OF INSURANCE

Name	Fairchild, Jeffrey Lynn	DOIID	328011	NAIC NPN	7175027

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Property	8/15/2000		5/31/2025
Active	Resident	Agent	Health	7/25/1991		5/31/2025
Active	Resident	Agent	Casualty	8/15/2000		5/31/2025
Active	Resident	Agent	Life	7/25/1991		5/31/2025
Inactive	Resident	Agent	General Lines	7/25/1991	8/15/2000
Active	Resident	Property & Casualty Consultant	Not Applicable	1/14/2008		5/31/2025
Active	Resident	Surplus Lines Broker	Not Applicable	6/2/2005		5/31/2025

*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
Agent	03/15/2025	05/31/2025
Property & Casualty Consultant	03/15/2025	05/31/2025
Surplus Lines Broker	03/15/2025	05/31/2025

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	Acrisure, Llc. 780 Winchester RdLexington, KY 405053729
Residence	Not Public Information

Internet Information

Type	Address
Business Email	InsuranceLicensing@acrisure.com

Phone Information

Type	Phone
Business / Home Office	(859) 224-8899