DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Grimm, Jason	DOIID	1008367	NAIC NPN	17992302

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	10/10/2024		1/31/2026
Active	Non Resident	Agent	Casualty	10/10/2024		1/31/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	10/10/2024		1/31/2026
* 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	11/15/2025	01/31/2026
Surplus Lines Broker	11/15/2025	01/31/2026

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	2/24/2025
Active	State National Insurance Company, Inc.	300888	Agent - Property	2/24/2025
Inactive	United States Fire Insurance Company	582240	Agent - Casualty	3/10/2020	1/31/2024
Inactive	United States Fire Insurance Company	582240	Agent - Property	3/10/2020	1/31/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	International Excess Alliance LLC	744738	Agent - Property	2/24/2025
Active	International Excess Alliance LLC	744738	Agent - Casualty	2/24/2025
Active	International Excess Alliance LLC	744738	Surplus Lines Broker - Not Applicable	1/14/2025
Inactive	One80 Intermediaries Inc	722533	Agent - Property	6/10/2020	1/31/2024
Inactive	One80 Intermediaries Inc	722533	Agent - Casualty	6/10/2020	1/31/2024
Inactive	One80 Intermediaries Inc	722533	Surplus Lines Broker - Not Applicable	6/10/2020	8/16/2021
Inactive	Rsc Insurance Brokerage,Inc.	638300	Agent - Property	4/2/2020	1/31/2024
Inactive	Rsc Insurance Brokerage,Inc.	638300	Agent - Casualty	4/2/2020	1/31/2024
Inactive	Rsc Insurance Brokerage,Inc.	638300	Surplus Lines Broker - Not Applicable	4/2/2020	8/16/2021