DEPARTMENT OF INSURANCE

Name	Vollmer, Jerry J	DOIID	600890	NAIC NPN	1446459

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	9/21/2011	3/31/2027
Active	Non Resident	Agent	Life	9/21/2011	3/31/2027
Active	Non Resident	Agent	Property	9/21/2011	3/31/2027
Active	Non Resident	Agent	Casualty	9/21/2011	3/31/2027
Denied	Non Resident	Life & Health Consultant	Not Applicable

*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
Agent	01/15/2025	03/31/2025	03/04/2025	03/04/2025	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
Business / Home Office	420 S Buckeye St Osgood, IN 470371308
Residence	Not Public Information

Internet Information

Type	Address
Internet	www.mainsourceinsurance.com
Business Email	customerinfo@voldico.com

Phone Information

Type	Phone
Business / Home Office	(812) 689-6740