DEPARTMENT OF INSURANCE

Affiliations

Name	Martin, Juan Jose	DOIID	707641	NAIC NPN	6876425

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	4/12/2014	1/31/2016
Inactive	Non Resident	Agent	Casualty	4/12/2014	1/31/2016
* 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 North America Insurance Company	300884	Agent - Casualty	4/15/2014	2/11/2015
Inactive	21st Century North America Insurance Company	300884	Agent - Property	4/15/2014	2/11/2015
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	4/24/2015	1/31/2016
Inactive	Dairyland Insurance Company	301370	Agent - Property	4/24/2015	1/31/2016
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	6/22/2009	3/4/2014
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	6/22/2009	3/4/2014
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Casualty	10/26/2009	12/16/2011
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Property	10/26/2009	12/16/2011
Inactive	First National Insurance Company of America	301690	Agent - Casualty	7/9/2009	1/25/2012
Inactive	First National Insurance Company of America	301690	Agent - Property	7/9/2009	1/25/2012
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	4/6/2012	2/20/2013
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	4/6/2012	2/20/2013
Inactive	General Insurance Company of America	300261	Agent - Casualty	7/9/2009	1/25/2012
Inactive	General Insurance Company of America	300261	Agent - Property	7/9/2009	1/25/2012
Inactive	Praetorian Insurance Company	301021	Agent - Casualty	10/15/2009	12/12/2011
Inactive	Praetorian Insurance Company	301021	Agent - Property	10/15/2009	12/12/2011
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	5/16/2014	10/27/2014
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	5/16/2014	10/27/2014
Inactive	QBE Insurance Corporation	300515	Agent - Casualty	7/15/2011	2/21/2012
Inactive	QBE Insurance Corporation	300515	Agent - Property	7/15/2011	2/21/2012
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	7/9/2009	1/25/2012
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	7/9/2009	1/25/2012
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	7/9/2009	1/25/2012
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	7/9/2009	1/25/2012
Inactive	Tesla Insurance Company	300337	Agent - Casualty	6/18/2009	1/9/2012
Inactive	Tesla Insurance Company	300337	Agent - Property	6/18/2009	1/9/2012
Inactive	Tesla Property & Casualty, Inc.	301611	Agent - Casualty	6/18/2009	11/18/2011
Inactive	Tesla Property & Casualty, Inc.	301611	Agent - Property	6/18/2009	11/18/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Banc of America Insurance Services, Inc.	400875	Agent - Casualty	9/25/2009	1/9/2012
Inactive	Banc of America Insurance Services, Inc.	400875	Agent - Property	9/25/2009	1/9/2012
Inactive	Quinstreet Insurance Agency, Inc.	633182	Agent - Casualty	4/18/2014	10/15/2014
Inactive	Quinstreet Insurance Agency, Inc.	633182	Agent - Property	4/18/2014	10/15/2014