DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Jetty Insurance Agency LLC	DOIID	957465	NAIC NPN	17964866

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	7/25/2024		3/31/2027
Active	Non Resident	Agent	Property	7/25/2024		3/31/2027
Active	Non Resident	Independent Adjuster	Property & Casualty	9/19/2024		3/31/2027
Active	Non Resident	Surplus Lines Broker	Not Applicable	9/13/2024		3/31/2027
* 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
Active	State National Insurance Company, Inc.	300888	Agent - Casualty	8/26/2024
Active	State National Insurance Company, Inc.	300888	Agent - Property	8/26/2024
Inactive	Toggle Insurance Company	724909	Agent - Casualty	10/27/2020	5/6/2024
Inactive	Toggle Insurance Company	724909	Agent - Property	10/27/2020	5/6/2024

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Anderson, Matthew Lloyd	1067339	Independent Adjuster - Property & Casualty	4/3/2025
Inactive	Cohler, Luke J	914155	Agent - Casualty	6/15/2017	9/1/2023
Inactive	Cohler, Luke J	914155	Agent - Property	6/15/2017	9/1/2023
Inactive	Gauthier, Kylie Rae	1272631	Agent - Casualty	7/25/2024	9/16/2024
Inactive	Gauthier, Kylie Rae	1272631	Agent - Property	7/25/2024	9/16/2024
Active	Leduc, Haley	1297030	Agent - Casualty	11/4/2024
Active	Leduc, Haley	1297030	Agent - Property	11/4/2024
Inactive	Martin, Matthew Ross	995541	Agent - Casualty	9/16/2024	6/9/2025
Inactive	Martin, Matthew Ross	995541	Agent - Property	9/16/2024	6/9/2025
Inactive	Martin, Matthew Ross	995541	Surplus Lines Broker - Not Applicable	9/13/2024	4/18/2025
Active	Quan, Jason W	1384536	Surplus Lines Broker - Not Applicable	3/31/2025
Inactive	Thompson, Sharon Marie	1077174	Independent Adjuster - Property & Casualty	9/19/2024	4/3/2025
Inactive	Trudeau, Joseph Edward	913415	Agent - Casualty	10/21/2021	9/1/2023
Inactive	Trudeau, Joseph Edward	913415	Agent - Property	10/21/2021	9/1/2023