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	4/30/2026
Active	Non Resident	Agent	Property	5/11/2018	4/30/2026
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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	02/15/2026	04/30/2026

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