DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Berry, Jedediah D	DOIID	903952	NAIC NPN	5781521

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	3/25/2024		10/31/2025
Active	Non Resident	Agent	Casualty	3/25/2024		10/31/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	5/1/2024		10/31/2025
* 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	08/15/2025	10/31/2025
Surplus Lines Broker	08/15/2025	10/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Employers Insurance Company of Wausau	301813	Agent - Casualty	7/6/2017	12/5/2022
Inactive	Employers Insurance Company of Wausau	301813	Agent - Property	7/6/2017	12/5/2022
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	7/6/2017	12/5/2022
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Property	7/6/2017	12/5/2022
Active	SiriusPoint America Insurance Company	301148	Agent - Casualty	1/8/2025
Active	SiriusPoint America Insurance Company	301148	Agent - Property	1/8/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Marsh USA LLC.	514638	Agent - Property	2/20/2019	12/5/2022
Inactive	Marsh USA LLC.	514638	Agent - Casualty	2/20/2019	12/5/2022
Denied	Tango Specialty Insurance Services LLC	722327	Agent - Property
Denied	Tango Specialty Insurance Services LLC	722327	Agent - Casualty