DEPARTMENT OF INSURANCE

Affiliations

Name	Jack Martin & Associates Inc	DOIID	587416	NAIC NPN	2012925

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	5/17/2006	4/25/2016
Inactive	Non Resident	Agent	Casualty	5/17/2006	4/25/2016
* 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	21st Century Centennial Insurance Company	301840	Agent - Casualty	8/30/2006	9/17/2011
Inactive	21st Century Centennial Insurance Company	301840	Agent - Property	8/30/2006	9/17/2011
Inactive	21st Century North America Insurance Company	300884	Agent - Casualty	8/30/2006	9/17/2011
Inactive	21st Century North America Insurance Company	300884	Agent - Property	8/30/2006	9/17/2011
Inactive	ACE American Insurance Company	300625	Agent - Casualty	9/16/2008	4/25/2016
Inactive	ACE American Insurance Company	300625	Agent - Property	9/16/2008	4/25/2016
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	1/19/2009	4/25/2016
Inactive	American Family Home Insurance Company	301817	Agent - Property	1/19/2009	4/25/2016
Inactive	American Home Assurance Company	300246	Agent - Casualty	8/30/2006	4/25/2016
Inactive	American Home Assurance Company	300246	Agent - Property	8/30/2006	4/25/2016
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	1/19/2009	4/25/2016
Inactive	American Modern Home Insurance Company	300791	Agent - Property	1/19/2009	4/25/2016
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	1/19/2009	4/25/2016
Inactive	American Modern Select Insurance Company	581481	Agent - Property	1/19/2009	4/25/2016
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	1/19/2009	4/25/2016
Inactive	American Southern Home Insurance Company	626276	Agent - Property	1/19/2009	4/25/2016
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	9/25/2006	4/25/2016
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	9/25/2006	4/25/2016
Inactive	GEICO Marine Insurance Company	590512	Agent - Casualty	1/11/2016	4/25/2016
Inactive	Indemnity Insurance Company of North America	301760	Agent - Casualty	6/22/2004	1/28/2005
Inactive	Indemnity Insurance Company of North America	301760	Agent - Property	6/22/2004	1/28/2005
Inactive	Markel American Insurance Company	300377	Agent - Casualty	5/11/2007	4/25/2016
Inactive	Markel American Insurance Company	300377	Agent - Property	5/11/2007	4/25/2016
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	9/25/2006	12/16/2014
Inactive	Northern Insurance Company of New York	301317	Agent - Property	9/25/2006	12/16/2014
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	7/22/2013	12/1/2015
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	7/22/2013	12/1/2015
Inactive	RLI Insurance Company	301217	Agent - Casualty	3/6/2008	3/21/2014
Inactive	RLI Insurance Company	301217	Agent - Property	3/6/2008	3/21/2014
Inactive	Root Property & Casualty Insurance Company	301016	Agent - Casualty	1/24/2012	4/25/2016
Inactive	Root Property & Casualty Insurance Company	301016	Agent - Property	1/24/2012	4/25/2016
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	12/14/2010	4/25/2016
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	12/14/2010	4/25/2016
Inactive	Westchester Fire Insurance Company	301414	Agent - Casualty	6/22/2004	1/28/2005
Inactive	Westchester Fire Insurance Company	301414	Agent - Property	6/22/2004	1/28/2005

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Martin, John Willis	578476	Agent - Casualty	5/17/2006	9/30/2009
Inactive	Martin, John Willis	578476	Agent - Property	5/17/2006	9/30/2009
Inactive	Mead, Terry M	572942	Agent - Casualty	12/29/2009	9/30/2013
Inactive	Mead, Terry M	572942	Agent - Property	12/29/2009	9/30/2013
Inactive	Trippe, Richard C	770378	Agent - Casualty	1/10/2013	4/25/2016
Inactive	Trippe, Richard C	770378	Agent - Property	1/10/2013	4/25/2016