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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2027	03/31/2027
Independent Adjuster	01/15/2027	03/31/2027
Surplus Lines Broker	01/15/2027	03/31/2027

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