DEPARTMENT OF INSURANCE

Affiliations

Name	Kaiser, Jack R	DOIID	308804	NAIC NPN	2822955

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	8/9/2012		5/31/2026
Active	Resident	Agent	Life	8/9/2012		5/31/2026
Active	Resident	Agent	Casualty	8/9/2012		5/31/2026
Active	Resident	Agent	Property	8/9/2012		5/31/2026
Inactive	Resident	Agent	General Lines	3/11/1987	8/15/2000
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	5/6/1998	9/2/2003
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	5/6/1998	9/2/2003
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - General Lines	10/9/1997	10/9/1997
Active	American Economy Insurance Company	300315	Agent - Casualty	11/9/2019
Active	American Economy Insurance Company	300315	Agent - Property	11/9/2019
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	11/4/2015	4/6/2022
Inactive	American Modern Home Insurance Company	300791	Agent - Property	11/4/2015	4/6/2022
Inactive	American Reliable Insurance Company	301889	Agent - Casualty	8/16/2006	12/12/2007
Inactive	American Reliable Insurance Company	301889	Agent - Property	8/16/2006	12/12/2007
Inactive	Assurity Life Insurance Company	301099	Agent - Health	12/1/1999	1/24/2003
Inactive	Assurity Life Insurance Company	301099	Agent - Life	12/1/1999	1/24/2003
Active	Auto-Owners Life Insurance Company	301368	Agent - Health	8/16/2012
Active	Auto-Owners Life Insurance Company	301368	Agent - Life	8/16/2012
Inactive	Bridgefield Casualty Insurance Company	500013	Agent - Casualty	1/27/2003	11/13/2006
Inactive	Continental Casualty Company	301019	Agent - General Lines	10/9/1997	10/9/1997
Inactive	Contractors Bonding and Insurance Company	300184	Agent - General Lines	11/12/1993	12/9/1999
Inactive	EMC National Life Company	300388	Agent - Health	12/29/2020	3/20/2024
Inactive	EMC National Life Company	300388	Agent - Life	12/29/2020	3/20/2024
Inactive	EMCASCO Insurance Company	842790	Agent - Casualty	2/13/2015	6/12/2020
Inactive	EMCASCO Insurance Company	842790	Agent - Property	2/13/2015	6/12/2020
Inactive	Employers Mutual Casualty Company	300202	Agent - Casualty	8/16/2012	6/12/2020
Inactive	Employers Mutual Casualty Company	300202	Agent - General Lines	2/23/1998	8/15/2000
Inactive	Employers Mutual Casualty Company	300202	Agent - Property	8/16/2012	6/12/2020
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	5/28/2015
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	5/28/2015
Inactive	Golden Rule Insurance Company	301943	Agent - Health	6/13/1995	11/12/1998
Inactive	Golden Rule Insurance Company	301943	Agent - Life	6/13/1995	11/12/1998
Inactive	Great American Insurance Company	301586	Agent - Casualty	8/15/2000	8/15/2000
Inactive	Great American Insurance Company	301586	Agent - General Lines	7/23/1991	8/15/2000
Inactive	Great American Insurance Company	301586	Agent - Property	8/15/2000	8/15/2000
Inactive	Great American Insurance Company of New York	301897	Agent - General Lines	7/23/1991	12/9/1996
Inactive	Great American Security Insurance Company	301228	Agent - General Lines	9/28/1992	3/31/1996
Inactive	Great American Spirit Insurance Company	300233	Agent - General Lines	8/31/1993	3/31/1996
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Casualty	8/16/2012	12/20/2017
Inactive	Hamilton Mutual Insurance Company	301111	Agent - General Lines	3/19/1990	8/15/2000
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Property	8/16/2012	12/20/2017
Inactive	Infinity Casualty Insurance Company	301280	Agent - General Lines	9/27/1993	6/26/2000
Inactive	Infinity Standard Insurance Company	301643	Agent - General Lines	12/26/1990	3/25/1996
Inactive	Investors Life Insurance Company of Indiana	301657	Agent - Health	5/4/1995	5/4/1995
Inactive	Investors Life Insurance Company of Indiana	301657	Agent - Life	5/4/1995	5/4/1995
Inactive	Investors Life Insurance Company of North America	301660	Agent - Life	12/3/1997	12/3/1997
Inactive	LifeUSA Insurance Company	300386	Agent - Health	5/6/1998	8/2/2002
Inactive	LifeUSA Insurance Company	300386	Agent - Life	5/6/1998	8/2/2002
Inactive	Meridian Citizens Mutual Insurance Company	300935	Agent - Casualty	8/15/2012	6/30/2014
Inactive	Meridian Citizens Mutual Insurance Company	300935	Agent - Property	8/15/2012	6/30/2014
Inactive	Meridian Mutual Insurance Company	301303	Agent - Casualty	8/15/2000	6/1/2001
Inactive	Meridian Mutual Insurance Company	301303	Agent - General Lines	3/11/1987	8/15/2000
Inactive	Meridian Mutual Insurance Company	301303	Agent - Property	8/15/2000	6/1/2001
Active	Meridian Security Insurance Company	300423	Agent - Casualty	8/15/2012
Inactive	Meridian Security Insurance Company	300423	Agent - General Lines	10/28/1998	8/15/2000
Active	Meridian Security Insurance Company	300423	Agent - Property	8/15/2012
Active	Milbank Insurance Company	925185	Agent - Casualty	2/19/2019
Active	Milbank Insurance Company	925185	Agent - Property	2/19/2019
Inactive	National Fire Insurance Company of Hartford	301063	Agent - General Lines	10/9/1997	10/9/1997
Inactive	PAFCO General Insurance Company	301645	Agent - Casualty	8/15/2000	3/31/2004
Inactive	PAFCO General Insurance Company	301645	Agent - General Lines	8/29/1988	8/15/2000
Inactive	PAFCO General Insurance Company	301645	Agent - Property	8/15/2000	3/31/2004
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	5/8/2015
Active	SAFECO Insurance Company of America	300159	Agent - Property	5/8/2015
Active	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	5/8/2015
Active	SAFECO Insurance Company of Illinois	301350	Agent - Property	5/8/2015
Active	State Auto Property & Casualty Insurance Company	301953	Agent - Casualty	8/15/2012
Active	State Auto Property & Casualty Insurance Company	301953	Agent - Property	8/15/2012
Active	State Automobile Mutual Insurance Company	301824	Agent - Casualty	8/15/2012
Inactive	State Automobile Mutual Insurance Company	301824	Agent - General Lines	12/11/1987	8/15/2000
Active	State Automobile Mutual Insurance Company	301824	Agent - Property	8/15/2012
Inactive	Time Insurance Company	300683	Agent - Health	3/24/1995	12/29/2008
Inactive	Time Insurance Company	300683	Agent - Life	3/24/1995	12/29/2008
Inactive	Transcontinental Insurance Company	301731	Agent - General Lines	10/9/1997	10/9/1997
Inactive	Transportation Insurance Company	301575	Agent - General Lines	10/9/1997	10/9/1997
Inactive	Union Insurance Company of Providence	842791	Agent - Casualty	2/13/2015	6/12/2020
Inactive	Union Insurance Company of Providence	842791	Agent - Property	2/13/2015	6/12/2020
Inactive	Valley Forge Insurance Company	301052	Agent - General Lines	10/9/1997	10/9/1997
Inactive	Woodmen Accident and Life Company	300147	Agent - Health	1/31/1997	1/31/1997
Inactive	Woodmen Accident and Life Company	300147	Agent - Life	1/31/1997	1/31/1997

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	6/25/1996	2/28/2003
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	6/25/1996	2/28/2003
Active	Kaiser Insurance Agency Inc.	398905	Agent - Life	8/16/2012
Active	Kaiser Insurance Agency Inc.	398905	Agent - Health	8/16/2012
Active	Kaiser Insurance Agency Inc.	398905	Agent - Property	8/15/2012
Active	Kaiser Insurance Agency Inc.	398905	Agent - Casualty	8/15/2012