DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Martin, Matthew Ross	DOIID	995541	NAIC NPN	18746969

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Property	3/13/2024		10/31/2026
Pending Replacement	Non Resident	Agent	Casualty	3/13/2024		10/31/2026
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	8/21/2024	4/18/2025
* 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	08/15/2026	10/31/2026

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	7/18/2024	6/9/2025
Inactive	State National Insurance Company, Inc.	300888	Agent - Property	7/18/2024	6/9/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Jetty Insurance Agency LLC	957465	Agent - Property	9/16/2024	6/9/2025
Inactive	Jetty Insurance Agency LLC	957465	Agent - Casualty	9/16/2024	6/9/2025
Inactive	Jetty Insurance Agency LLC	957465	Surplus Lines Broker - Not Applicable	9/13/2024	4/18/2025
Inactive	Root Insurance Agency LLC	1022632	Agent - Property	12/17/2018	10/31/2022
Inactive	Root Insurance Agency LLC	1022632	Agent - Casualty	12/17/2018	10/31/2022