DEPARTMENT OF INSURANCE

Affiliations

Name	Nielsen, Jeffrey Albert	DOIID	710759	NAIC NPN	14513713

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	5/11/2018	4/30/2028
Active	Non Resident	Agent	Property	5/11/2018	4/30/2028
Active	Non Resident	Surplus Lines Broker	Not Applicable	5/15/2025	4/30/2028
* 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	Hartford Accident and Indemnity Company	301917	Agent - Casualty	8/14/2009	1/8/2013
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	8/14/2009	1/8/2013
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	8/14/2009	1/8/2013
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	8/14/2009	1/8/2013
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	8/14/2009	1/8/2013
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	8/14/2009	1/8/2013
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	8/14/2009	1/8/2013
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	8/14/2009	1/8/2013
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	8/14/2009	1/8/2013
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	8/14/2009	1/8/2013
Active	Housing Authority Property Insurance, A Mutual Company	620952	Agent - Casualty	5/29/2018
Active	Housing Authority Property Insurance, A Mutual Company	620952	Agent - Property	5/29/2018
Active	Housing Enterprise Insurance Company, Inc.	721472	Agent - Casualty	5/29/2018
Active	Housing Enterprise Insurance Company, Inc.	721472	Agent - Property	5/29/2018
Active	Philadelphia Indemnity Insurance Company	301221	Agent - Casualty	11/19/2025
Active	Philadelphia Indemnity Insurance Company	301221	Agent - Property	11/19/2025
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	8/14/2009	1/8/2013
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	8/14/2009	1/8/2013
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	8/14/2009	1/8/2013
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	8/14/2009	1/8/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Housing Insurance Services Inc	586006	Agent - Casualty	5/31/2018
Active	Housing Insurance Services Inc	586006	Agent - Property	5/31/2018