DEPARTMENT OF INSURANCE

Affiliations

Name	Bass, Brandi Nichole	DOIID	1065120	NAIC NPN	17841967

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	11/13/2019	10/31/2021
Inactive	Non Resident	Agent	Property	11/13/2019	10/31/2021
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Titan Insurance Agency Inc	1068284	Agent - Casualty	1/15/2020	10/31/2021
Inactive	Titan Insurance Agency Inc	1068284	Agent - Property	1/15/2020	10/31/2021