DEPARTMENT OF INSURANCE

Affiliations

Name	Marin, Jeffrey	DOIID	851110	NAIC NPN	17357449

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	7/23/2021		9/30/2024
Inactive	Non Resident	Agent	Property	9/8/2014	3/28/2017
Inactive	Non Resident	Agent	Casualty	9/8/2014	3/28/2017
* 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	07/15/2024	09/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	10/23/2014	1/26/2017
Inactive	American Family Home Insurance Company	301817	Agent - Property	10/23/2014	1/26/2017
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	10/8/2014	1/26/2017
Inactive	American Modern Home Insurance Company	300791	Agent - Property	10/8/2014	1/26/2017
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	10/8/2014	1/26/2017
Inactive	American Modern Select Insurance Company	581481	Agent - Property	10/8/2014	1/26/2017
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	10/8/2014	1/26/2017
Inactive	American Southern Home Insurance Company	626276	Agent - Property	10/8/2014	1/26/2017
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	10/28/2015	4/17/2017
Inactive	Bristol West Insurance Company	301655	Agent - Property	10/28/2015	4/17/2017
Inactive	Esurance Insurance Company	301072	Agent - Casualty	1/15/2015	6/24/2016
Inactive	Esurance Insurance Company	301072	Agent - Property	1/15/2015	6/24/2016
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	9/12/2014	1/18/2017
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	9/12/2014	1/18/2017
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	10/14/2014	4/17/2017
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	10/14/2014	4/17/2017
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	12/17/2015	4/17/2017
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	12/17/2015	4/17/2017
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	12/17/2015	4/17/2017
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	12/17/2015	4/17/2017
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	10/6/2014	2/14/2017
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	10/6/2014	2/14/2017
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	10/6/2014	2/14/2017
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	10/6/2014	2/14/2017
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/23/2021	7/25/2022
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	1/18/2022	7/25/2022
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	1/18/2022	7/25/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Wells Fargo Insurance Inc.	518950	Agent - Property	10/13/2014	2/2/2017
Inactive	Wells Fargo Insurance Inc.	518950	Agent - Casualty	10/13/2014	2/2/2017