DEPARTMENT OF INSURANCE

Name	Dossett, Jason W	DOIID	596985	NAIC NPN	8276253

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	4/1/2005	7/1/2006
Inactive	Resident	Agent	Life	11/19/2004	7/1/2006
Active	Resident	Independent Adjuster	Crop	11/20/2012		7/31/2026

*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
Independent Adjuster	05/15/2024	07/31/2024	05/16/2024	05/16/2024	Yes

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
Residence	Not Public Information
Business / Home Office	299 Sunset Court Cadiz, KY 42211

Phone Information

Type	Phone
Business / Home Office	(270) 604-2481