DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Green, Jamie Michelle	DOIID	1033346	NAIC NPN	17539448

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	3/20/2019	2/28/2022
Inactive	Non Resident	Agent	Casualty	3/20/2019	2/28/2022
* 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	Nationwide Mutual Insurance Company	301749	Agent - Casualty	5/6/2019	12/13/2021
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	5/6/2019	12/13/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	DVM Insurance Agency	636779	Agent - Casualty	5/15/2019	12/13/2021
Inactive	DVM Insurance Agency	636779	Agent - Property	5/15/2019	12/13/2021