DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Helton, Jeremy T	DOIID	1279665	NAIC NPN	16919614

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	6/12/2023		5/31/2026
Active	Non Resident	Agent	Property	6/12/2023		5/31/2026
* 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	03/15/2026	05/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Church Mutual Insurance Company, S.I.	301554	Agent - Casualty	6/26/2023
Active	Church Mutual Insurance Company, S.I.	301554	Agent - Property	6/26/2023
Active	MGT Insurance Company	970661	Agent - Casualty	6/26/2023
Active	MGT Insurance Company	970661	Agent - Property	6/26/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	C M I C Specialty Services Inc	645077	Agent - Casualty	9/6/2023
Active	C M I C Specialty Services Inc	645077	Agent - Property	9/6/2023