DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Martin, Jeffrey W	DOIID	362432	NAIC NPN	114836

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	2/23/2023		1/31/2026
Active	Non Resident	Agent	Casualty	2/23/2023		1/31/2026
Inactive	Non Resident	Agent	General Lines	7/28/1992	8/15/2000
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	8/11/2009	9/17/2010
* 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

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	8/15/2000	10/23/2012
Inactive	American Family Home Insurance Company	301817	Agent - General Lines	12/30/1998	8/15/2000
Inactive	American Family Home Insurance Company	301817	Agent - Property	8/15/2000	10/23/2012
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	8/15/2000	10/23/2012
Inactive	American Modern Home Insurance Company	300791	Agent - General Lines	7/28/1992	8/15/2000
Inactive	American Modern Home Insurance Company	300791	Agent - Property	8/15/2000	10/23/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Atlas Ins Agcy Inc	523813	Agent - Property	1/29/2007	6/30/2011
Inactive	Atlas Ins Agcy Inc	523813	Agent - Casualty	1/29/2007	6/30/2011
Inactive	Atlas Ins Agcy Inc	523813	Surplus Lines Broker - Not Applicable	8/19/2009	9/17/2010