DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Hayes, Jennifer A	DOIID	1168368	NAIC NPN	3891386

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	10/22/2021	8/15/2022
Inactive	Non Resident	Agent	Casualty	10/22/2021	8/15/2022
* 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 Modern Home Insurance Company	300791	Agent - Casualty	11/9/2021	8/15/2022
Inactive	American Modern Home Insurance Company	300791	Agent - Property	11/9/2021	8/15/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Selfgood LLC	1128659	Agent - Casualty	11/3/2021	8/15/2022
Inactive	Selfgood LLC	1128659	Agent - Property	11/3/2021	8/15/2022