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
Inactive	Non Resident	Agent	Casualty	3/13/2024	3/13/2026
Inactive	Non Resident	Agent	Property	3/13/2024	3/13/2026
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.

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