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	Property	4/17/2020		3/31/2028
Active	Non Resident	Agent	Health	2/24/2022		3/31/2028
Active	Non Resident	Agent	Casualty	4/17/2020		3/31/2028
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.

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