black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

JACQUILA MARTIN

PRODUCER NON-RESIDENT

License Number:
PRN515685
Status:
First Licensure:
05/15/2025
Cancel Date:
None

Mailing:
CONWAY, AR 72034
Phone:
+1 (865) 777-6121
Fax:
+1 (877) 706-8586
Email:
ltravel@travelers.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 05/15/2025

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
BRISTOL WEST INSURANCE COMPANY
07/30/2025 PCF78370 09/30/2025
DAIRYLAND INSURANCE COMPANY
09/09/2025 PCF721
FARMERS CASUALTY INSURANCE COMPANY
07/30/2025 PCF895 09/30/2025
FARMERS DIRECT PROPERTY AND CASUALTY INSURANCE COMPANY
07/30/2025 PCF267721 09/30/2025
FARMERS PROPERTY AND CASUALTY INSURANCE COMPANY
07/30/2025 PCF714 09/30/2025
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
07/30/2025 PCF445 09/30/2025

Authority

Description Issue Date Termination Date Status
PERSONAL LINES 05/15/2025 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
21568794

Other Addresses

Address Type
2420 LAKEMONT AVE STE 210
ORLANDO, FL 32814-6165
Office

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 10/11/2025 03:33:56 AM