DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Societe Air France	DOIID	1081383	NAIC NPN	19468896

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	4/17/2020		3/31/2026
Active	Non Resident	Agent	Health	2/24/2022		3/31/2026
Active	Non Resident	Agent	Property	4/17/2020		3/31/2026
Inactive	Non Resident	Agent	Life	4/24/2020	1/12/2022
* 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	01/15/2026	03/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	BCS Insurance Company	300294	Agent - Casualty	4/27/2020
Inactive	BCS Insurance Company	300294	Agent - Health	4/30/2020	1/12/2022
Active	BCS Insurance Company	300294	Agent - Property	4/27/2020
Active	Jefferson Insurance Company	301127	Agent - Casualty	4/27/2020
Active	Jefferson Insurance Company	301127	Agent - Property	4/27/2020

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Holley, Jay T	937597	Agent - Health	4/24/2020	1/12/2022
Inactive	Holley, Jay T	937597	Agent - Life	4/24/2020	1/12/2022
Active	Mitchell, Jacob	939971	Agent - Casualty	4/17/2020
Active	Mitchell, Jacob	939971	Agent - Health	2/24/2022
Active	Mitchell, Jacob	939971	Agent - Property	4/17/2020