DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Bolig, Jacquelyn M	DOIID	605160	NAIC NPN	3499571

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	3/16/2005		11/30/2024
Active	Non Resident	Agent	Property	3/16/2005		11/30/2024
Active	Non Resident	Surplus Lines Broker	Not Applicable	3/23/2015		11/30/2024
* 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	09/15/2024	11/30/2024
Surplus Lines Broker	09/15/2024	11/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	6/21/2010
Active	American Guarantee and Liability Insurance Company	301216	Agent - Property	6/21/2010
Active	American Zurich Insurance Company	300592	Agent - Casualty	6/21/2010
Active	American Zurich Insurance Company	300592	Agent - Property	6/21/2010
Active	Zurich American Insurance Company	301121	Agent - Casualty	6/21/2010
Active	Zurich American Insurance Company	301121	Agent - Property	6/21/2010
Active	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	6/21/2010
Active	Zurich American Insurance Company of Illinois	301805	Agent - Property	6/21/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aon Risk Services Northeast Inc	503768	Agent - Property	5/12/2014	4/14/2023
Inactive	Aon Risk Services Northeast Inc	503768	Agent - Casualty	5/12/2014	4/14/2023
Active	Crescent Meadow, LLC	1143878	Agent - Property	2/13/2023
Active	Crescent Meadow, LLC	1143878	Agent - Casualty	2/13/2023
Active	Willis Towers Watson Northeast Inc	537673	Agent - Property	4/12/2023
Active	Willis Towers Watson Northeast Inc	537673	Agent - Casualty	4/12/2023
Active	Willis Towers Watson Northeast Inc	537673	Surplus Lines Broker - Not Applicable	4/12/2023