DEPARTMENT OF INSURANCE

Affiliations

Name	Jack, Daniel Robert	DOIID	334544	NAIC NPN	810139

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	6/16/2005	7/31/2021
Inactive	Non Resident	Agent	Life	6/16/2005	7/31/2021
Inactive	Non Resident	Agent	Property	8/15/2000	7/31/2021
Inactive	Non Resident	Agent	General Lines	10/3/1995	8/15/2000
Inactive	Non Resident	Agent	Casualty	8/15/2000	7/31/2021
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	7/14/2006	7/6/2021
* 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	Aegis Security Insurance Company	300492	Agent - Casualty	2/9/2011	6/1/2017
Inactive	Aegis Security Insurance Company	300492	Agent - Property	2/9/2011	6/1/2017
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	2/1/2011	4/26/2017
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	2/1/2011	4/26/2017
Inactive	Anthem Life Insurance Company	301209	Agent - Health	7/25/2005	11/4/2010
Inactive	Anthem Life Insurance Company	301209	Agent - Life	7/25/2005	11/4/2010
Inactive	Arch Insurance Company	300688	Agent - Casualty	10/9/2009	12/9/2014
Inactive	Arch Insurance Company	300688	Agent - Property	10/9/2009	12/9/2014
Inactive	Argonaut Insurance Company	301422	Agent - Casualty	1/9/2013	3/22/2017
Inactive	Argonaut Insurance Company	301422	Agent - Property	1/9/2013	3/22/2017
Inactive	Atlantic Specialty Insurance Company	518595	Agent - Casualty	3/19/2014	12/8/2017
Inactive	Atlantic Specialty Insurance Company	518595	Agent - Property	3/19/2014	12/8/2017
Inactive	Federal Insurance Company	301144	Agent - Casualty	8/15/2000	9/23/2014
Inactive	Federal Insurance Company	301144	Agent - General Lines	10/3/1995	8/15/2000
Inactive	Federal Insurance Company	301144	Agent - Property	8/15/2000	9/23/2014
Inactive	Great Midwest Insurance Company	301418	Agent - Casualty	9/17/2013	8/11/2021
Inactive	Great Midwest Insurance Company	301418	Agent - Property	9/17/2013	8/11/2021
Inactive	Imperium Insurance Company	300804	Agent - Casualty	9/17/2013	8/11/2021
Inactive	Imperium Insurance Company	300804	Agent - Property	9/17/2013	8/11/2021
Inactive	Lexon Insurance Company	300352	Agent - Casualty	3/17/2014	9/19/2016
Inactive	Lincoln General Insurance Company	301580	Agent - Casualty	8/15/2000	12/31/2009
Inactive	Lincoln General Insurance Company	301580	Agent - General Lines	3/18/1997	8/15/2000
Inactive	Lincoln General Insurance Company	301580	Agent - Property	8/15/2000	12/31/2009
Inactive	Rockwood Casualty Insurance Company	585116	Agent - Casualty	1/15/2007	9/23/2014
Inactive	Rockwood Casualty Insurance Company	585116	Agent - Property	1/15/2007	9/23/2014
Inactive	Utica Mutual Insurance Company	301933	Agent - Casualty	2/8/2010	3/26/2014
Inactive	Utica Mutual Insurance Company	301933	Agent - Property	2/8/2010	3/26/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Huntington Insurance Inc	515749	Agent - Property	10/9/2014	11/15/2016
Inactive	Huntington Insurance Inc	515749	Agent - Casualty	10/9/2014	11/15/2016
Inactive	Huntington Insurance Inc	515749	Agent - Health	10/9/2014	11/15/2016
Inactive	Huntington Insurance Inc	515749	Agent - Life	10/9/2014	11/15/2016
Inactive	Huntington Insurance Inc	515749	Surplus Lines Broker - Not Applicable	10/9/2014	7/6/2021
Inactive	Reschini Agency Inc	513606	Agent - Property	8/15/2000	9/30/2014
Inactive	Reschini Agency Inc	513606	Agent - Casualty	8/15/2000	9/30/2014
Inactive	Reschini Agency Inc	513606	Agent - Health	1/4/2012	9/30/2014
Inactive	Reschini Agency Inc	513606	Agent - Life	1/4/2012	9/30/2014