DEPARTMENT OF INSURANCE

Affiliations

Name	Martin, Jacob Lee	DOIID	556317	NAIC NPN	7409876

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Pending Replacement	Resident	Agent	Casualty	5/30/2017	5/31/2024
Pending Replacement	Resident	Agent	Property	5/30/2017	5/31/2024
* 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
Inactive	AIG Assurance Company	300897	Agent - Casualty	5/11/2006	6/1/2014
Inactive	AIG Assurance Company	300897	Agent - Property	5/11/2006	6/1/2014
Inactive	AIG Property Casualty Company	300621	Agent - Casualty	11/10/2009	7/5/2011
Inactive	AIG Property Casualty Company	300621	Agent - Property	11/10/2009	7/5/2011
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	5/24/2006	6/1/2014
Inactive	American Fire and Casualty Company	300567	Agent - Property	5/24/2006	6/1/2014
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	11/11/2019	8/29/2023
Inactive	Bristol West Insurance Company	301655	Agent - Property	11/11/2019	8/29/2023
Inactive	Catawba Insurance Company	581090	Agent - Casualty	3/23/2007	1/23/2012
Inactive	Catawba Insurance Company	581090	Agent - Property	3/23/2007	1/23/2012
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	9/8/2007	6/1/2014
Inactive	Consolidated Insurance Company	300943	Agent - Property	9/8/2007	6/1/2014
Inactive	Countryway Insurance Company	300809	Agent - Casualty	5/1/2011	6/1/2014
Inactive	Countryway Insurance Company	300809	Agent - Property	5/1/2011	6/1/2014
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	3/22/2006	5/12/2010
Inactive	Dairyland Insurance Company	301370	Agent - Property	5/18/2010	6/1/2014
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	8/11/2014	6/1/2016
Inactive	Encompass Indemnity Company	546376	Agent - Property	8/11/2014	6/1/2016
Inactive	Encompass Insurance Company of America	556578	Agent - Casualty	8/11/2014	6/1/2016
Inactive	Encompass Insurance Company of America	556578	Agent - Property	8/11/2014	6/1/2016
Inactive	Farmers Insurance Exchange	300336	Agent - Casualty	3/17/2009	8/22/2012
Inactive	Farmers Insurance Exchange	300336	Agent - Property	3/17/2009	8/22/2012
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	11/11/2019	8/29/2023
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	11/11/2019	8/29/2023
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	8/22/2006	6/1/2014
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	8/22/2006	6/1/2014
Inactive	Grange Insurance Company	300234	Agent - Casualty	8/22/2006	6/1/2014
Inactive	Grange Insurance Company	300234	Agent - Property	8/22/2006	6/1/2014
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	11/26/2007	6/1/2014
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	11/26/2007	6/1/2014
Inactive	Granite State Insurance Company	300818	Agent - Casualty	5/11/2006	6/1/2014
Inactive	Granite State Insurance Company	300818	Agent - Property	5/11/2006	6/1/2014
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	4/25/2018	12/18/2019
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	4/25/2018	12/18/2019
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	4/13/2006	8/30/2006
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	4/13/2006	8/30/2006
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	4/13/2006	8/30/2006
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	4/13/2006	8/30/2006
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	4/13/2006	8/30/2006
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	4/13/2006	8/30/2006
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	7/11/2012	6/1/2014
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	7/11/2012	6/1/2014
Inactive	Homesite Insurance Company	301139	Agent - Casualty	6/3/2008	10/24/2011
Inactive	Homesite Insurance Company	301139	Agent - Property	6/3/2008	10/24/2011
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	1/16/2007	6/1/2014
Inactive	Illinois National Insurance Company	301367	Agent - Property	1/16/2007	6/1/2014
Inactive	Indiana Insurance Company	301909	Agent - Casualty	9/8/2007	6/1/2014
Inactive	Indiana Insurance Company	301909	Agent - Property	9/8/2007	6/1/2014
Inactive	Kentucky National Insurance Company	301625	Agent - Casualty	11/23/2010	1/20/2014
Inactive	Kentucky National Insurance Company	301625	Agent - Property	11/23/2010	1/20/2014
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	9/8/2007	6/1/2014
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	9/8/2007	6/1/2014
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	5/24/2006	6/1/2014
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	5/24/2006	6/1/2014
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	5/24/2006	6/1/2014
Inactive	Ohio Security Insurance Company	300622	Agent - Property	5/24/2006	6/1/2014
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	9/8/2007	6/1/2014
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	9/8/2007	6/1/2014
Inactive	Peerless Insurance Company	301910	Agent - Casualty	9/8/2007	6/1/2014
Inactive	Peerless Insurance Company	301910	Agent - Property	9/8/2007	6/1/2014
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Casualty	9/10/2007	10/9/2010
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Property	9/10/2007	10/9/2010
Inactive	RLI Insurance Company	301217	Agent - Casualty	5/12/2008	6/1/2014
Inactive	RLI Insurance Company	301217	Agent - Property	5/12/2008	6/1/2014
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	12/12/2010	6/1/2014
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	12/12/2010	6/1/2014
Inactive	Truck Insurance Exchange	300335	Agent - Casualty	3/17/2009	8/22/2012
Inactive	Truck Insurance Exchange	300335	Agent - Property	3/17/2009	8/22/2012
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	8/22/2006	6/1/2014
Inactive	Trustgard Insurance Company	300104	Agent - Property	8/22/2006	6/1/2014
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	5/28/2015	6/1/2016
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	5/28/2015	6/1/2016
Inactive	West American Insurance Company	301112	Agent - Casualty	5/24/2006	6/1/2014
Inactive	West American Insurance Company	301112	Agent - Property	5/24/2006	6/1/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Collins Insurance Agency Inc.	399196	Agent - Casualty	3/8/2007	6/1/2014
Inactive	Collins Insurance Agency Inc.	399196	Agent - Property	3/8/2007	6/1/2014
Inactive	Edwards Insurance Agency Inc.	399801	Agent - Casualty	4/13/2006	1/28/2010
Inactive	Edwards Insurance Agency Inc.	399801	Agent - Property	4/13/2006	1/28/2010
Inactive	The Martin Agency, Inc.	401085	Agent - Casualty	8/11/2014	6/1/2016
Inactive	The Martin Agency, Inc.	401085	Agent - Property	8/11/2014	6/1/2016