DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Jarrell Black And Company, LLC	DOIID	1107857	NAIC NPN	18366449

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	6/11/2024		3/31/2026
Active	Non Resident	Agent	Health	6/11/2024		3/31/2026
Inactive	Non Resident	Agent	Casualty	11/17/2022	3/31/2024
Inactive	Non Resident	Agent	Property	11/17/2022	3/31/2024
* 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
Inactive	American Economy Insurance Company	300315	Agent - Casualty	1/6/2023	3/29/2024
Inactive	American Economy Insurance Company	300315	Agent - Property	1/6/2023	3/29/2024
Inactive	BrickStreet Mutual Insurance Company	709251	Agent - Casualty	9/26/2023	3/31/2024
Inactive	MICO Insurance Company	301664	Agent - Casualty	2/3/2023	9/15/2023
Inactive	MICO Insurance Company	301664	Agent - Property	2/3/2023	9/15/2023
Inactive	Milbank Insurance Company	925185	Agent - Casualty	10/25/2021	3/31/2022
Inactive	Milbank Insurance Company	925185	Agent - Property	10/25/2021	3/31/2022
Inactive	Motorists Commercial Mutual Insurance Company	301941	Agent - Casualty	3/14/2024	3/31/2024
Inactive	Motorists Commercial Mutual Insurance Company	301941	Agent - Property	3/14/2024	3/31/2024
Inactive	National Specialty Insurance Company	300993	Agent - Casualty	6/28/2023	3/31/2024
Inactive	National Specialty Insurance Company	300993	Agent - Property	6/28/2023	3/31/2024
Inactive	Next Insurance US Company	1083825	Agent - Casualty	6/26/2023	3/31/2024
Inactive	Next Insurance US Company	1083825	Agent - Property	6/26/2023	3/31/2024
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	12/28/2022	3/29/2024
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	12/28/2022	3/29/2024
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	4/27/2023	3/29/2024
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	4/27/2023	3/29/2024
Inactive	State National Insurance Company, Inc.	300888	Agent - Casualty	6/28/2023	3/31/2024
Inactive	State National Insurance Company, Inc.	300888	Agent - Property	6/28/2023	3/31/2024

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Black, Michael P	756773	Agent - Casualty	11/17/2022	3/31/2024
Active	Black, Michael P	756773	Agent - Health	6/11/2024
Active	Black, Michael P	756773	Agent - Life	6/11/2024
Inactive	Black, Michael P	756773	Agent - Property	11/17/2022	3/31/2024