DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Vermeer, Jolene M	DOIID	384726	NAIC NPN	758289

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	9/22/2009	11/22/2011
Inactive	Non Resident	Agent	Property	9/22/2009	11/22/2011
Inactive	Non Resident	Agent	General Lines	7/14/1997	8/15/2000
Inactive	Non Resident	Agent	Life	9/22/2009	11/22/2011
Inactive	Non Resident	Agent	Casualty	9/22/2009	11/22/2011
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	11/12/2009	11/22/2011
* 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 Home Assurance Company	300246	Agent - Casualty	8/15/2000	7/6/2009
Inactive	American Home Assurance Company	300246	Agent - General Lines	7/14/1997	8/15/2000
Inactive	American Home Assurance Company	300246	Agent - Property	8/15/2000	7/6/2009
Inactive	Reliance Insurance Company	300785	Agent - Casualty	8/15/2000	6/5/2001
Inactive	Reliance Insurance Company	300785	Agent - General Lines	5/2/2000	8/15/2000
Inactive	Reliance Insurance Company	300785	Agent - Property	8/15/2000	6/5/2001
Inactive	Reliance National Indemnity Company	301939	Agent - General Lines	5/2/2000	8/15/2000
Inactive	Reliance Universal Insurance Company	301083	Agent - Casualty	8/15/2000	6/1/2001
Inactive	Reliance Universal Insurance Company	301083	Agent - General Lines	5/2/2000	8/15/2000
Inactive	Reliance Universal Insurance Company	301083	Agent - Property	8/15/2000	6/1/2001
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	3/29/2010	11/22/2011
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	3/29/2010	11/22/2011
Inactive	United Pacific Insurance Company	300538	Agent - General Lines	5/2/2000	8/15/2000
Inactive	Westport Insurance Corporation	300448	Agent - Casualty	3/22/2001	12/5/2007
Inactive	Westport Insurance Corporation	300448	Agent - Property	3/22/2001	12/5/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	USI Insurance Services National, Inc	509421	Agent - Property	6/11/2010	11/22/2011
Inactive	USI Insurance Services National, Inc	509421	Agent - Casualty	6/11/2010	11/22/2011
Inactive	USI Insurance Services National, Inc	509421	Surplus Lines Broker - Not Applicable	6/11/2010	11/22/2011
Denied	USI Insurance Services National, Inc	509421	Agent - Life
Denied	USI Insurance Services National, Inc	509421	Agent - Health
Inactive	Wells Fargo Insurance Services Mountain West, Inc.	533395	Agent - Property	7/9/2001	7/6/2009
Inactive	Wells Fargo Insurance Services Mountain West, Inc.	533395	Agent - Casualty	7/9/2001	7/6/2009