DEPARTMENT OF INSURANCE

Affiliations

Name	Martin And Zerfoss Inc	DOIID	556924	NAIC NPN	1652483

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	5/21/2003	3/31/2027
Active	Non Resident	Agent	Life	10/7/2016	3/31/2027
Active	Non Resident	Agent	Health	10/7/2016	3/31/2027
Active	Non Resident	Agent	Casualty	5/21/2003	3/31/2027
Active	Non Resident	Surplus Lines Broker	Not Applicable	4/2/2018	3/31/2027
* 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	01/15/2027	03/31/2027
Surplus Lines Broker	01/15/2027	03/31/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACE American Insurance Company	300625	Agent - Casualty	7/25/2012
Active	ACE American Insurance Company	300625	Agent - Property	7/25/2012
Active	ACE Fire Underwriters Insurance Company	301679	Agent - Casualty	7/25/2012
Active	ACE Fire Underwriters Insurance Company	301679	Agent - Property	7/25/2012
Active	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	7/25/2012
Active	ACE Property and Casualty Insurance Company	300520	Agent - Property	7/25/2012
Active	AIG Property Casualty Company	300621	Agent - Casualty	4/5/2011
Active	AIG Property Casualty Company	300621	Agent - Property	4/5/2011
Inactive	AXIS Insurance Company	301290	Agent - Casualty	5/26/2009	12/28/2009
Inactive	AXIS Insurance Company	301290	Agent - Property	5/26/2009	12/28/2009
Active	Accident Fund General Insurance Company	626282	Agent - Casualty	5/20/2008
Active	Accident Fund Insurance Company of America	518734	Agent - Casualty	5/20/2008
Active	Accident Fund National Insurance Company	626286	Agent - Casualty	5/20/2008
Active	All Savers Insurance Company	301940	Agent - Health	2/27/2025
Active	All Savers Insurance Company	301940	Agent - Life	2/27/2025
Active	AmTrust Insurance Company	300179	Agent - Casualty	10/16/2025
Active	AmTrust Insurance Company	300179	Agent - Property	10/16/2025
Inactive	American Automobile Insurance Company	300953	Agent - Casualty	1/10/2012	12/22/2017
Inactive	American Automobile Insurance Company	300953	Agent - Property	1/10/2012	12/22/2017
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Casualty	1/30/2004	2/17/2011
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Property	1/30/2004	2/17/2011
Active	American Zurich Insurance Company	300592	Agent - Casualty	2/1/2013
Active	American Zurich Insurance Company	300592	Agent - Property	2/1/2013
Active	Auto-Owners Insurance Company	301480	Agent - Casualty	2/17/2014
Active	Auto-Owners Insurance Company	301480	Agent - Property	2/17/2014
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	9/5/2018	12/15/2020
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	9/5/2018	12/15/2020
Active	Bankers Standard Insurance Company	301620	Agent - Casualty	8/6/2015
Active	Bankers Standard Insurance Company	301620	Agent - Property	8/6/2015
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	7/17/2017	12/20/2018
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	7/17/2017	12/20/2018
Active	Chubb National Insurance Company	301392	Agent - Casualty	5/10/2016
Active	Chubb National Insurance Company	301392	Agent - Property	5/10/2016
Active	Cincinnati Insurance Company	301298	Agent - Casualty	7/20/2010
Active	Cincinnati Insurance Company	301298	Agent - Property	7/20/2010
Active	Cincinnati Life Insurance Company (The)	300601	Agent - Life	7/22/2020
Inactive	Continental Casualty Company	301019	Agent - Casualty	1/30/2004	2/17/2011
Inactive	Continental Casualty Company	301019	Agent - Property	1/30/2004	2/17/2011
Inactive	Continental Insurance Company (The)	301242	Agent - Casualty	2/24/2006	2/17/2011
Inactive	Continental Insurance Company (The)	301242	Agent - Property	2/24/2006	2/17/2011
Active	Crestbrook Insurance Company	805354	Agent - Casualty	7/30/2021
Active	Crestbrook Insurance Company	805354	Agent - Property	7/30/2021
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	11/9/2017	4/20/2018
Inactive	Employers Assurance Company	300120	Agent - Casualty	3/13/2014	1/3/2024
Inactive	Employers Compensation Insurance Company	797885	Agent - Casualty	8/6/2018	1/3/2024
Inactive	Employers Preferred Insurance Company	520656	Agent - Casualty	3/13/2014	1/3/2024
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	12/22/2014	10/3/2024
Inactive	Encompass Indemnity Company	546376	Agent - Property	12/22/2014	10/3/2024
Inactive	Encompass Insurance Company of America	556578	Agent - Casualty	12/22/2014	12/13/2018
Inactive	Encompass Insurance Company of America	556578	Agent - Property	12/22/2014	12/13/2018
Active	Farmington Casualty Company	301137	Agent - Casualty	7/17/2017
Active	Farmington Casualty Company	301137	Agent - Property	7/17/2017
Active	Federal Insurance Company	301144	Agent - Casualty	10/4/2004
Active	Federal Insurance Company	301144	Agent - Health	4/1/2019
Active	Federal Insurance Company	301144	Agent - Property	10/4/2004
Inactive	Fireman's Fund Insurance Company	301423	Agent - Casualty	4/18/2012	12/22/2017
Inactive	Fireman's Fund Insurance Company	301423	Agent - Property	4/18/2012	12/22/2017
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	1/17/2013
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	1/17/2013
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	1/17/2013	8/29/2018
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	1/17/2013	8/29/2018
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	1/17/2013	8/29/2018
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	1/17/2013	8/29/2018
Active	Great Northern Insurance Company	301107	Agent - Casualty	6/3/2003
Active	Great Northern Insurance Company	301107	Agent - Property	6/3/2003
Active	Guardian Life Insurance Company of America	301316	Agent - Health	1/17/2023
Active	Guardian Life Insurance Company of America	301316	Agent - Life	1/17/2023
Active	Hanover American Insurance Company (The)	300447	Agent - Casualty	4/13/2023
Active	Hanover American Insurance Company (The)	300447	Agent - Property	4/13/2023
Active	Hanover Insurance Company (The)	300508	Agent - Casualty	6/28/2018
Active	Hanover Insurance Company (The)	300508	Agent - Property	6/28/2018
Active	Hartford Underwriters Insurance Company	301064	Agent - Casualty	4/29/2021
Active	Hartford Underwriters Insurance Company	301064	Agent - Property	4/29/2021
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/9/2017	4/20/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/9/2017	4/20/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/9/2017	4/20/2018
Active	Indemnity Insurance Company of North America	301760	Agent - Casualty	7/25/2012
Active	Indemnity Insurance Company of North America	301760	Agent - Property	7/25/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	11/9/2017	4/20/2018
Inactive	Kanawha Insurance Company	300127	Agent - Life	11/9/2017	4/20/2018
Active	Massachusetts Bay Insurance Company	300898	Agent - Casualty	11/19/2020
Active	Massachusetts Bay Insurance Company	300898	Agent - Property	11/19/2020
Inactive	Milford Casualty Insurance Company	301460	Agent - Casualty	8/16/2016	8/17/2021
Inactive	Milford Casualty Insurance Company	301460	Agent - Property	8/16/2016	8/17/2021
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Casualty	1/30/2004	2/17/2011
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Property	1/30/2004	2/17/2011
Active	Nationwide Mutual Insurance Company	301749	Agent - Casualty	7/30/2021
Active	Nationwide Mutual Insurance Company	301749	Agent - Property	7/30/2021
Active	Owners Insurance Company	300796	Agent - Casualty	2/17/2014
Active	Owners Insurance Company	300796	Agent - Property	2/17/2014
Active	Pacific Employers Insurance Company	301753	Agent - Casualty	8/6/2015
Active	Pacific Employers Insurance Company	301753	Agent - Property	8/6/2015
Active	Pacific Indemnity Company	301610	Agent - Casualty	6/3/2003
Active	Pacific Indemnity Company	301610	Agent - Property	6/3/2003
Inactive	Park National Insurance Company	692514	Agent - Casualty	8/16/2016	8/17/2021
Inactive	Park National Insurance Company	692514	Agent - Property	8/16/2016	8/17/2021
Inactive	Penn Millers Insurance Company	301584	Agent - Casualty	6/19/2013	11/18/2016
Inactive	Penn Millers Insurance Company	301584	Agent - Property	6/19/2013	11/18/2016
Active	Philadelphia Indemnity Insurance Company	301221	Agent - Health	5/7/2024
Active	Privilege Underwriters Reciprocal Exchange	769657	Agent - Casualty	6/16/2021
Active	Privilege Underwriters Reciprocal Exchange	769657	Agent - Property	6/16/2021
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	3/24/2016	1/16/2019
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	3/24/2016	1/16/2019
Active	Security National Insurance Company	301151	Agent - Casualty	10/16/2025
Active	Security National Insurance Company	301151	Agent - Property	10/16/2025
Active	Selective Insurance Company of America	500018	Agent - Casualty	11/5/2025
Active	Selective Insurance Company of America	500018	Agent - Property	11/5/2025
Active	Selective Insurance Company of South Carolina	500012	Agent - Casualty	11/5/2025
Active	Selective Insurance Company of South Carolina	500012	Agent - Property	11/5/2025
Active	Selective Insurance Company of the Southeast	300381	Agent - Casualty	11/5/2025
Active	Selective Insurance Company of the Southeast	300381	Agent - Property	11/5/2025
Active	Sequoia Insurance Company	628046	Agent - Casualty	10/16/2025
Active	Sequoia Insurance Company	628046	Agent - Property	10/16/2025
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	7/17/2017	12/20/2018
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	7/17/2017	12/20/2018
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Casualty	7/17/2017	12/20/2018
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Property	7/17/2017	12/20/2018
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Casualty	7/17/2017	12/20/2018
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Property	7/17/2017	12/20/2018
Active	Standard Fire Insurance Company (The)	301068	Agent - Casualty	4/18/2013
Active	Standard Fire Insurance Company (The)	301068	Agent - Property	4/18/2013
Active	Technology Insurance Company	613278	Agent - Casualty	10/16/2025
Active	Technology Insurance Company	613278	Agent - Property	10/16/2025
Active	The Phoenix Insurance Company	301502	Agent - Casualty	7/17/2017
Active	The Phoenix Insurance Company	301502	Agent - Property	7/17/2017
Inactive	Transcontinental Insurance Company	301731	Agent - Casualty	1/30/2004	9/27/2007
Inactive	Transcontinental Insurance Company	301731	Agent - Property	1/30/2004	9/27/2007
Inactive	Transportation Insurance Company	301575	Agent - Casualty	1/30/2004	2/17/2011
Inactive	Transportation Insurance Company	301575	Agent - Property	1/30/2004	2/17/2011
Active	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	7/17/2017
Active	Travelers Casualty Insurance Company of America	300522	Agent - Property	7/17/2017
Active	Travelers Casualty and Surety Company	301067	Agent - Casualty	7/17/2017
Active	Travelers Casualty and Surety Company	301067	Agent - Property	7/17/2017
Active	Travelers Casualty and Surety Company of America	301334	Agent - Casualty	7/17/2017
Active	Travelers Casualty and Surety Company of America	301334	Agent - Property	7/17/2017
Inactive	Travelers Commercial Insurance Company	301506	Agent - Casualty	4/18/2013	11/30/2017
Inactive	Travelers Commercial Insurance Company	301506	Agent - Property	4/18/2013	11/30/2017
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	4/18/2013	10/5/2021
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	4/18/2013	10/5/2021
Active	Travelers Indemnity Company (The)	301855	Agent - Casualty	7/17/2017
Active	Travelers Indemnity Company (The)	301855	Agent - Property	7/17/2017
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	7/17/2017	12/15/2020
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	7/17/2017	12/15/2020
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	7/17/2017	12/20/2018
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	7/17/2017	12/20/2018
Active	Travelers Personal Insurance Company	705785	Agent - Casualty	11/2/2020
Active	Travelers Personal Insurance Company	705785	Agent - Property	11/2/2020
Active	Travelers Property Casualty Company of America	301649	Agent - Casualty	7/17/2017
Active	Travelers Property Casualty Company of America	301649	Agent - Property	7/17/2017
Inactive	United Financial Casualty Company	301886	Agent - Casualty	3/24/2016	1/16/2019
Inactive	United Financial Casualty Company	301886	Agent - Property	3/24/2016	1/16/2019
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	2/27/2025
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	2/27/2025
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	2/27/2025
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	2/27/2025
Inactive	Valley Forge Insurance Company	301052	Agent - Casualty	1/30/2004	2/17/2011
Inactive	Valley Forge Insurance Company	301052	Agent - Property	1/30/2004	2/17/2011
Active	Vigilant Insurance Company	301143	Agent - Casualty	6/3/2003
Active	Vigilant Insurance Company	301143	Agent - Property	6/3/2003
Active	Wesco Insurance Company	300534	Agent - Casualty	10/16/2025
Active	Wesco Insurance Company	300534	Agent - Health	10/16/2025
Active	Wesco Insurance Company	300534	Agent - Property	10/16/2025
Active	Western Surety Company	300283	Agent - Casualty	2/14/2013
Active	Westfield Insurance Company	301950	Agent - Casualty	4/2/2015
Active	Westfield Insurance Company	301950	Agent - Property	4/2/2015

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Bourne, Jennifer Lynne	909850	Agent - Casualty	7/15/2026
Pending	Bourne, Jennifer Lynne	909850	Agent - Life
Active	Bourne, Jennifer Lynne	909850	Agent - Property	7/15/2026
Active	Brittingham, James Andrew	1247801	Agent - Casualty	1/18/2023
Active	Brittingham, James Andrew	1247801	Agent - Health	1/18/2023
Active	Brittingham, James Andrew	1247801	Agent - Life	1/18/2023
Active	Brittingham, James Andrew	1247801	Agent - Property	1/18/2023
Pending	Buggeln, Zachary	1085251	Agent - Casualty
Pending	Buggeln, Zachary	1085251	Agent - Health
Pending	Buggeln, Zachary	1085251	Agent - Life
Pending	Buggeln, Zachary	1085251	Agent - Property
Active	Dodson, Ezekiel Grant	1235324	Agent - Casualty	7/15/2026
Pending	Dodson, Ezekiel Grant	1235324	Agent - Health
Pending	Dodson, Ezekiel Grant	1235324	Agent - Life
Active	Dodson, Ezekiel Grant	1235324	Agent - Property	7/15/2026
Active	House, Michael W	1245870	Agent - Casualty	1/18/2023
Denied	House, Michael W	1245870	Agent - Health
Denied	House, Michael W	1245870	Agent - Life
Active	House, Michael W	1245870	Agent - Property	1/18/2023
Active	Martin, Michael Ross	556703	Agent - Casualty	5/21/2003
Active	Martin, Michael Ross	556703	Agent - Health	6/16/2021
Active	Martin, Michael Ross	556703	Agent - Life	7/22/2020
Active	Martin, Michael Ross	556703	Agent - Property	5/21/2003
Active	Martin, Michael Ross	556703	Surplus Lines Broker - Not Applicable	7/21/2020
Active	Powell, Andrew T	958580	Agent - Casualty	7/17/2017
Denied	Powell, Andrew T	958580	Agent - Health
Denied	Powell, Andrew T	958580	Agent - Life
Active	Powell, Andrew T	958580	Agent - Property	7/17/2017
Active	Ragan, Taylor Rye	957375	Agent - Casualty	6/19/2017
Denied	Ragan, Taylor Rye	957375	Agent - Health
Denied	Ragan, Taylor Rye	957375	Agent - Life
Active	Ragan, Taylor Rye	957375	Agent - Property	6/19/2017
Active	Shomaker, Taylor G	1067362	Agent - Casualty	1/18/2023
Active	Shomaker, Taylor G	1067362	Agent - Property	1/18/2023
Inactive	Zerfoss, Thomas Bowman	393916	Agent - Casualty	7/19/2010	11/15/2023
Inactive	Zerfoss, Thomas Bowman	393916	Agent - Health	10/7/2016	6/3/2021
Inactive	Zerfoss, Thomas Bowman	393916	Agent - Life	10/7/2016	6/3/2021
Inactive	Zerfoss, Thomas Bowman	393916	Surplus Lines Broker - Not Applicable	4/2/2018	6/3/2021