DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Fontanez, Jasmin	DOIID	1439493	NAIC NPN	21377904

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	12/16/2025		8/31/2028
Active	Non Resident	Agent	Life	12/16/2025		8/31/2028
Active	Non Resident	Agent	Casualty	12/16/2025		8/31/2028
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending	Aca Club Insurance Agency, Inc.	1033550	Agent - Casualty
Pending	Aca Club Insurance Agency, Inc.	1033550	Agent - Life
Pending	Aca Club Insurance Agency, Inc.	1033550	Agent - Property