DEPARTMENT OF INSURANCE
Affiliations
NameChoice Insurance Services, LLCDOIID1047082NAIC NPN19070997
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
Pending ReplacementNon ResidentAgentCasualty7/11/2019 3/31/2025
Pending ReplacementNon ResidentAgentProperty7/11/2019 3/31/2025
* 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
Agent01/15/202503/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAuto-Owners Insurance Company301480Agent - Casualty2/23/20222/7/2025
InactiveAuto-Owners Insurance Company301480Agent - Property2/23/20222/7/2025
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Casualty3/11/202111/4/2022
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Property3/11/202111/4/2022
InactiveContinental Casualty Company301019Agent - Casualty10/18/201912/4/2024
InactiveContinental Casualty Company301019Agent - Property10/18/201912/4/2024
Pending ReplacementGeneral Casualty Company of Wisconsin300930Agent - Casualty3/19/2021 
Pending ReplacementGeneral Casualty Company of Wisconsin300930Agent - Property3/19/2021 
Pending ReplacementMassachusetts Bay Insurance Company300898Agent - Casualty10/16/2019 
Pending ReplacementMassachusetts Bay Insurance Company300898Agent - Property10/16/2019 
InactiveNational Fire Insurance Company of Hartford301063Agent - Casualty10/18/201912/4/2024
InactiveNational Fire Insurance Company of Hartford301063Agent - Property10/18/201912/4/2024
Pending ReplacementNorth Pointe Insurance Company301029Agent - Casualty7/21/2022 
Pending ReplacementNorth Pointe Insurance Company301029Agent - Property7/21/2022 
InactiveOwners Insurance Company300796Agent - Casualty2/23/20222/7/2025
InactiveOwners Insurance Company300796Agent - Property2/23/20222/7/2025
Pending ReplacementPrivilege Underwriters Reciprocal Exchange769657Agent - Casualty7/2/2023 
Pending ReplacementPrivilege Underwriters Reciprocal Exchange769657Agent - Property7/2/2023 
Pending ReplacementRegent Insurance Company300411Agent - Casualty3/19/2021 
Pending ReplacementRegent Insurance Company300411Agent - Property3/19/2021 
Pending ReplacementSAFECO Insurance Company of America300159Agent - Casualty2/22/2024 
Pending ReplacementSAFECO Insurance Company of America300159Agent - Property2/22/2024 
Pending ReplacementStandard Fire Insurance Company (The)301068Agent - Casualty3/11/2021 
Pending ReplacementStandard Fire Insurance Company (The)301068Agent - Property3/11/2021 
InactiveThe Phoenix Insurance Company301502Agent - Casualty3/11/202111/4/2022
InactiveThe Phoenix Insurance Company301502Agent - Property3/11/202111/4/2022
InactiveTravelers Home and Marine Insurance Company (The)301802Agent - Casualty3/11/202111/4/2022
InactiveTravelers Home and Marine Insurance Company (The)301802Agent - Property3/11/202111/4/2022
Pending ReplacementTravelers Personal Insurance Company705785Agent - Casualty5/15/2024 
Pending ReplacementTravelers Personal Insurance Company705785Agent - Property5/15/2024 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveBrunn, Benjamin J 730827Agent - Casualty4/20/2021 
ActiveBrunn, Benjamin J 730827Agent - Property4/20/2021 
InactiveJorissen, Judy L 317716Agent - Casualty7/11/20191/31/2021
InactiveJorissen, Judy L 317716Agent - Property7/11/20191/31/2021

© Commonwealth of Kentucky. All rights reserved.