DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Jacqmin, Peter M	DOIID	764585	NAIC NPN	3429521

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	9/24/2011		11/30/2025
Active	Non Resident	Agent	Casualty	9/24/2011		11/30/2025
* 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
Active	Selective Insurance Company of the Southeast	300381	Agent - Casualty	8/27/2020
Active	Selective Insurance Company of the Southeast	300381	Agent - Property	8/27/2020
Active	Zurich American Insurance Company	301121	Agent - Casualty	12/12/2019
Active	Zurich American Insurance Company	301121	Agent - Property	12/12/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Willis Ins Services Of Georgia Inc	549678	Agent - Property	12/12/2019	2/4/2020
Inactive	Willis Ins Services Of Georgia Inc	549678	Agent - Casualty	12/12/2019	2/4/2020
Active	Willis Towers Watson Northeast Inc	537673	Agent - Property	1/7/2021
Active	Willis Towers Watson Northeast Inc	537673	Agent - Casualty	1/7/2021
Active	Willis Towers Watson Southeast Inc	399919	Agent - Property	1/8/2021
Active	Willis Towers Watson Southeast Inc	399919	Agent - Casualty	1/8/2021