DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Malone, Jacob	DOIID	1370691	NAIC NPN	21376561

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Casualty	11/13/2024		4/30/2026
Active	Resident	Agent	Property	11/13/2024		4/30/2026
Active	Resident	Surplus Lines Broker	Not Applicable	3/28/2025		4/30/2026
* 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	02/15/2026	04/30/2026
Surplus Lines Broker	02/15/2026	04/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Mount Vernon Fire Insurance Company	301397	Agent - Casualty	2/26/2025
Active	Mount Vernon Fire Insurance Company	301397	Agent - Property	2/26/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Risk Placement Services Inc	509419	Agent - Casualty	2/26/2025
Active	Risk Placement Services Inc	509419	Agent - Property	2/26/2025