DEPARTMENT OF INSURANCE
Affiliations
NameFrederick, Bradley WayneDOIID1018761NAIC NPN17319427
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentProperty11/12/2018 9/30/2025
ActiveNon ResidentAgentCasualty11/12/2018 9/30/2025
ActiveNon ResidentAgentLife11/12/2018 9/30/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent07/15/202509/30/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAmerican Modern Property and Casualty Insurance Company301954Agent - Casualty7/19/2019 
ActiveAmerican Modern Property and Casualty Insurance Company301954Agent - Property7/19/2019 
ActiveAuto-Owners Insurance Company301480Agent - Casualty11/15/2018 
ActiveAuto-Owners Insurance Company301480Agent - Property11/15/2018 
ActiveAuto-Owners Life Insurance Company301368Agent - Life11/15/2018 
ActiveCharter Oak Fire Insurance Company (The)301501Agent - Casualty1/4/2019 
ActiveCharter Oak Fire Insurance Company (The)301501Agent - Property1/4/2019 
ActiveCincinnati Insurance Company301298Agent - Casualty12/6/2018 
ActiveCincinnati Insurance Company301298Agent - Property12/6/2018 
ActiveCincinnati Life Insurance Company (The)300601Agent - Life11/30/2018 
ActiveOwners Insurance Company300796Agent - Casualty11/15/2018 
ActiveOwners Insurance Company300796Agent - Property11/15/2018 
ActiveStandard Fire Insurance Company (The)301068Agent - Casualty1/4/2019 
ActiveStandard Fire Insurance Company (The)301068Agent - Property1/4/2019 
InactiveThe Phoenix Insurance Company301502Agent - Casualty1/4/201911/16/2023
InactiveThe Phoenix Insurance Company301502Agent - Property1/4/201911/16/2023
ActiveTravelers Casualty and Surety Company301067Agent - Casualty1/4/2019 
ActiveTravelers Casualty and Surety Company301067Agent - Property1/4/2019 
ActiveTravelers Casualty and Surety Company of America301334Agent - Casualty1/4/2019 
ActiveTravelers Casualty and Surety Company of America301334Agent - Property1/4/2019 
ActiveTravelers Home and Marine Insurance Company (The)301802Agent - Casualty1/4/2019 
ActiveTravelers Home and Marine Insurance Company (The)301802Agent - Property1/4/2019 
InactiveTravelers Indemnity Company of America (The)301093Agent - Casualty1/4/201912/9/2019
InactiveTravelers Indemnity Company of America (The)301093Agent - Property1/4/201912/9/2019
ActiveTravelers Personal Insurance Company705785Agent - Casualty5/24/2019 
ActiveTravelers Personal Insurance Company705785Agent - Property5/24/2019 
ActiveTravelers Property Casualty Company of America301649Agent - Casualty1/4/2019 
ActiveTravelers Property Casualty Company of America301649Agent - Property1/4/2019 
ActiveWest Bend Insurance Company672974Agent - Casualty11/20/2024 
ActiveWest Bend Insurance Company672974Agent - Property11/20/2024 
ActiveWestfield Insurance Company301950Agent - Casualty12/31/2018 
ActiveWestfield Insurance Company301950Agent - Property12/31/2018 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveGerman American Ins Inc601752Agent - Casualty9/14/2021 
ActiveGerman American Ins Inc601752Agent - Property9/14/2021 
ActiveGerman American Ins Inc601752Agent - Life9/14/2021 

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