DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Blank, Jordan Daniel	DOIID	1044106	NAIC NPN	18438789

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	6/17/2019	1/19/2022
Inactive	Non Resident	Agent	Casualty	6/17/2019	1/19/2022
* 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	American Economy Insurance Company	300315	Agent - Casualty	11/9/2019	9/14/2021
Inactive	American Economy Insurance Company	300315	Agent - Property	11/9/2019	9/14/2021
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	7/7/2021	9/15/2021
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	7/7/2021	9/15/2021
Inactive	Liberty Mutual Personal Insurance Company	959584	Agent - Casualty	11/5/2019	9/14/2021
Inactive	Liberty Mutual Personal Insurance Company	959584	Agent - Property	11/5/2019	9/14/2021
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	9/12/2019	9/14/2021
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	9/12/2019	9/14/2021
Denied	SAFECO Insurance Company of Illinois	301350	Agent - Casualty
Denied	SAFECO Insurance Company of Illinois	301350	Agent - Property

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Paul Moss Insurance Agency LLC	833857	Agent - Casualty	9/12/2019	9/15/2021
Inactive	Paul Moss Insurance Agency LLC	833857	Agent - Property	9/12/2019	9/15/2021