DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Long, Jarrett Wiley	DOIID	1252013	NAIC NPN	7407432

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	1/18/2023		8/31/2026
Active	Non Resident	Agent	Casualty	1/18/2023		8/31/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	1/20/2023		8/31/2026
* 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	06/15/2026	08/31/2026
Surplus Lines Broker	06/15/2026	08/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	SiriusPoint America Insurance Company	301148	Agent - Casualty	11/2/2023
Active	SiriusPoint America Insurance Company	301148	Agent - Property	11/2/2023
Active	Vantage Risk Assurance Company	301730	Agent - Casualty	9/14/2023
Active	Vantage Risk Assurance Company	301730	Agent - Property	9/14/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Tango Specialty Insurance Services LLC	722327	Agent - Casualty	3/13/2024
Active	Tango Specialty Insurance Services LLC	722327	Agent - Property	3/13/2024
Active	Tango Specialty Insurance Services LLC	722327	Surplus Lines Broker - Not Applicable	2/2/2023