DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Tietz, Brandon Michael	DOIID	763616	NAIC NPN	10720303

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	12/17/2014		5/31/2026
Active	Non Resident	Agent	Property	12/17/2014		5/31/2026
Inactive	Non Resident	Agent	Life	9/15/2011	2/14/2013
Inactive	Non Resident	Agent	Health	9/15/2011	2/14/2013
* 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	AGCS Marine Insurance Company	300403	Agent - Casualty	2/8/2022
Active	AGCS Marine Insurance Company	300403	Agent - Property	2/8/2022
Active	Allmerica Financial Alliance Insurance Company	300823	Agent - Casualty	1/9/2025
Active	Allmerica Financial Alliance Insurance Company	300823	Agent - Property	1/9/2025
Active	Allmerica Financial Benefit Insurance Company	301223	Agent - Casualty	1/9/2025
Active	Allmerica Financial Benefit Insurance Company	301223	Agent - Property	1/9/2025
Active	HDI Global Insurance Company	676678	Agent - Casualty	2/16/2025
Active	HDI Global Insurance Company	676678	Agent - Property	2/16/2025
Active	Hanover American Insurance Company (The)	300447	Agent - Casualty	1/9/2025
Active	Hanover American Insurance Company (The)	300447	Agent - Property	1/9/2025
Active	Hanover Insurance Company (The)	300508	Agent - Casualty	1/9/2025
Active	Hanover Insurance Company (The)	300508	Agent - Property	1/9/2025
Active	Massachusetts Bay Insurance Company	300898	Agent - Casualty	1/9/2025
Active	Massachusetts Bay Insurance Company	300898	Agent - Property	1/9/2025
Active	Verlan Fire Insurance Company	517102	Agent - Casualty	2/12/2025
Active	Verlan Fire Insurance Company	517102	Agent - Property	2/12/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Property	2/28/2022
Active	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Casualty	2/28/2022
Active	Gallagher Affinity Insurance Services, Inc.	397758	Agent - Property	4/11/2024
Active	Gallagher Affinity Insurance Services, Inc.	397758	Agent - Casualty	4/11/2024
Inactive	Las Vegas Star LLC	868140	Agent - Property	2/5/2015	3/31/2023
Inactive	Las Vegas Star LLC	868140	Agent - Casualty	2/5/2015	3/31/2023