DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Jetty Ins 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
Inactive	Non Resident	Agent	Casualty	6/15/2017	5/6/2024
Inactive	Non Resident	Agent	Property	6/15/2017	5/6/2024
* 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	State National Insurance Company, Inc.	300888	Agent - Casualty	7/11/2017	5/6/2024
Inactive	State National Insurance Company, Inc.	300888	Agent - Property	7/11/2017	5/6/2024
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
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	9/1/2023	5/6/2024
Inactive	Gauthier, Kylie Rae	1272631	Agent - Property	9/1/2023	5/6/2024
Pending	Leduc, Haley	1297030	Agent - Casualty
Pending	Leduc, Haley	1297030	Agent - Property
Pending	Martin, Matthew Ross	995541	Agent - Casualty
Pending	Martin, Matthew Ross	995541	Agent - Property
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