Individual Information

JAY K REAVIS

WAUKEE, IA 50263-8844

Active

jreavis@holmesmurphy.com

08/15/2019

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	3465023	08/15/2019	Active	08/15/2019	08/31/2025
Non-Res. Surplus Lines Broker	3516897	01/28/2020	Active	01/28/2020	01/31/2026

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	08/15/2019	Active	08/15/2019
Health	01/28/2020	Active	01/28/2020
Life	01/28/2020	Active	01/28/2020
Property	08/15/2019	Active	08/15/2019
Surplus Lines	01/28/2020	Active	01/28/2020
Surety	08/15/2019	Inactive	01/01/2020

Company Name	Appointment Type	Status	Active Date
233
FEDERAL INSURANCE COMPANY	Casualty	Active	02/24/2021
	Property	Active	02/24/2021
11243
Company Name	Appointment Type	Status	Active Date
MANUFACTURERS ALLIANCE INSURANCE COMPANY	Casualty	Active	05/04/2020
	Property	Active	05/04/2020
807
Company Name	Appointment Type	Status	Active Date
PENNSYLVANIA MANUFACTURERS ASSOCIATION INSURANCE	Casualty	Active	05/04/2020
	Property	Active	05/04/2020
11244
Company Name	Appointment Type	Status	Active Date
PENNSYLVANIA MANUFACTURERS INDEMNITY COMPANY	Casualty	Active	05/04/2020
	Property	Active	05/04/2020
1302
Company Name	Appointment Type	Status	Active Date
PROGRESSIVE NORTHERN INSURANCE COMPANY	Casualty	Active	01/30/2020
	Property	Active	01/30/2020
1261
Company Name	Appointment Type	Status	Active Date
UNITED FINANCIAL CASUALTY COMPANY	Casualty	Active	01/30/2020
	Property	Active	01/30/2020
1561
Company Name	Appointment Type	Status	Active Date
XL SPECIALTY INSURANCE COMPANY	Casualty	Active	12/12/2023
	Property	Active	12/12/2023

row(s) 1 - 14 of 14

Organization	Association Type	Type	Beg dte	End dte
HOLMES, MURPHY AND ASSOCIATES, LLC	Designated Resp Lic Prdcr	Agency	04/27/2020	-

1 - 1