DEPARTMENT OF INSURANCE

Name	Jack Martin & Associates Inc	DOIID	587416	NAIC NPN	2012925

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Non Resident	Agent	Property	5/17/2006	4/25/2016
Inactive	Non Resident	Agent	Casualty	5/17/2006	4/25/2016

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

No License Renewal Information

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date.

Address Information

Type	Address
Business / Home Office	135 Old Solomons Island Road Annapolis, MD 21401

Internet Information

Type	Address
Business Email	licensing@shbi.com - Bad Email-Correction requested

Phone Information

Type	Phone
Business / Home Office	(410) 626-1000