DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Martin, Jeffrey Young	DOIID	596506	NAIC NPN	6758247

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	10/4/2004	3/8/2013
Inactive	Non Resident	Agent	Casualty	10/4/2004	3/8/2013
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	6/9/2006	3/8/2013
* 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	ACE American Insurance Company	300625	Agent - Casualty	4/25/2006	7/24/2012
Inactive	ACE American Insurance Company	300625	Agent - Property	4/25/2006	7/24/2012
Inactive	Bankers Standard Insurance Company	301620	Agent - Casualty	4/25/2006	7/24/2012
Inactive	Bankers Standard Insurance Company	301620	Agent - Property	4/25/2006	7/24/2012
Inactive	Great American Insurance Company of New York	301897	Agent - Casualty	1/6/2005	7/27/2012
Inactive	Great American Insurance Company of New York	301897	Agent - Property	1/6/2005	7/27/2012
Inactive	RSUI Indemnity Company	300513	Agent - Casualty	8/7/2006	3/8/2013
Inactive	RSUI Indemnity Company	300513	Agent - Property	8/7/2006	3/8/2013
Inactive	Westchester Fire Insurance Company	301414	Agent - Casualty	4/25/2006	1/1/2011
Inactive	Westchester Fire Insurance Company	300990	Agent - Casualty	1/1/2011	7/24/2012
Inactive	Westchester Fire Insurance Company	301414	Agent - Property	4/25/2006	1/1/2011
Inactive	Westchester Fire Insurance Company	300990	Agent - Property	1/1/2011	7/24/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Ins Specialty Group Llc	686249	Agent - Casualty
Inactive	Pacific Wholesale Insurance Brokers, LLC	598518	Agent - Casualty	1/21/2005	6/18/2012
Inactive	Pacific Wholesale Insurance Brokers, LLC	598518	Agent - Property	1/21/2005	6/18/2012
Inactive	Pacific Wholesale Insurance Brokers, LLC	598518	Surplus Lines Broker - Not Applicable	6/22/2006	6/18/2012