DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Berg, Jay Allen	DOIID	769785	NAIC NPN	1273760

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	11/30/2011		6/30/2024
Active	Non Resident	Agent	Casualty	11/30/2011		6/30/2024
* 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	04/15/2024	06/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Employers Insurance Company of Wausau	301813	Agent - Casualty	1/15/2014
Active	Employers Insurance Company of Wausau	301813	Agent - Property	1/15/2014
Active	Fireman's Fund Insurance Company	301423	Agent - Casualty	9/12/2023
Active	Fireman's Fund Insurance Company	301423	Agent - Property	9/12/2023
Active	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	1/15/2014
Active	First Liberty Insurance Corporation (The)	301060	Agent - Property	1/15/2014
Active	LM Insurance Corporation	301061	Agent - Casualty	1/15/2014
Active	LM Insurance Corporation	301061	Agent - Property	1/15/2014
Active	Liberty Insurance Corporation	300444	Agent - Casualty	1/15/2014
Active	Liberty Insurance Corporation	300444	Agent - Property	1/15/2014
Active	Liberty Insurance Underwriters Inc.	301391	Agent - Casualty	4/25/2015
Active	Liberty Insurance Underwriters Inc.	301391	Agent - Property	4/25/2015
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	1/15/2014
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Property	1/15/2014
Active	Liberty Mutual Insurance Company	301159	Agent - Casualty	1/15/2014
Active	Liberty Mutual Insurance Company	301159	Agent - Property	1/15/2014
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	11/3/2014
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	11/3/2014

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 - Casualty	5/30/2017	2/4/2020
Inactive	Willis Ins Services Of Georgia Inc	549678	Agent - Property	5/30/2017	2/4/2020
Inactive	Willis Of Alabama Inc	513714	Agent - Casualty	5/30/2017	12/30/2019
Inactive	Willis Of Alabama Inc	513714	Agent - Property	5/30/2017	12/30/2019
Active	Willis Towers Watson Southeast Inc	399919	Agent - Casualty	2/1/2020
Active	Willis Towers Watson Southeast Inc	399919	Agent - Property	2/1/2020