DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Brouillette, Stacey Lee	DOIID	1121678	NAIC NPN	5845182

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	2/22/2021		1/31/2026
Active	Non Resident	Agent	Casualty	2/22/2021		1/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Permanent General Assurance Corporation of Ohio	709250	Agent - Casualty	2/25/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	General Automobile Ins Services Of Ohio Inc The	719262	Agent - Casualty	3/2/2021