DEPARTMENT OF INSURANCE

Affiliations

Name	Jones, Debra Ann	DOIID	735114	NAIC NPN	4921895

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Administrator	Not Applicable	11/24/2020	10/31/2025
Active	Non Resident	Agent	Life	8/21/2010	10/31/2025
Active	Non Resident	Agent	Travel	7/23/2015	10/31/2025
Active	Non Resident	Agent	Property	8/21/2010	10/31/2025
Active	Non Resident	Agent	Casualty	8/21/2010	10/31/2025
Active	Non Resident	Agent	Health	8/21/2010	10/31/2025
Denied	Non Resident	Managing General Agent	Not Applicable
* 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
Administrator	08/15/2025	10/31/2025
Agent	08/15/2025	10/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	8/17/2015	3/25/2020
Inactive	American Modern Home Insurance Company	300791	Agent - Property	8/17/2015	3/25/2020
Inactive	Arch Insurance Company	300688	Agent - Casualty	7/30/2013	12/18/2019
Inactive	Arch Insurance Company	300688	Agent - Health	1/7/2014	12/18/2019
Inactive	Arch Insurance Company	300688	Agent - Property	7/30/2013	12/18/2019
Inactive	Arch Insurance Company	300688	Agent - Travel	8/13/2015	12/18/2019
Active	Generali - U.S. Branch	301128	Agent - Casualty	12/8/2021
Active	Generali - U.S. Branch	301128	Agent - Property	12/8/2021
Active	Generali - U.S. Branch	301128	Agent - Travel	12/8/2021
Active	National Casualty Company	301483	Agent - Casualty	8/13/2012
Active	National Casualty Company	301483	Agent - Property	8/13/2012
Active	Nationwide Life Insurance Company	300495	Agent - Health	8/13/2015
Active	Nationwide Life Insurance Company	300495	Agent - Life	8/13/2015
Active	Nationwide Mutual Insurance Company	301749	Agent - Casualty	8/13/2012
Active	Nationwide Mutual Insurance Company	301749	Agent - Property	8/13/2012
Active	Nationwide Mutual Insurance Company	301749	Agent - Travel	8/13/2015
Active	United States Fire Insurance Company	582240	Agent - Casualty	11/5/2010
Active	United States Fire Insurance Company	582240	Agent - Health	11/5/2010
Active	United States Fire Insurance Company	582240	Agent - Property	11/5/2010
Active	United States Fire Insurance Company	582240	Agent - Travel	12/31/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Trip Mate, Inc	397551	Agent - Casualty	9/2/2015	2/28/2024
Inactive	Trip Mate, Inc	397551	Agent - Health	9/30/2016	2/28/2024
Inactive	Trip Mate, Inc	397551	Agent - Life	9/30/2016	2/28/2024
Inactive	Trip Mate, Inc	397551	Agent - Property	9/2/2015	2/28/2024
Inactive	Trip Mate, Inc	397551	Agent - Travel	9/30/2016	2/28/2024
Active	Trip Mate, Inc	397551	Administrator - Not Applicable	1/13/2021