DEPARTMENT OF INSURANCE

Affiliations

Name	Staples, Brian K	DOIID	1162631	NAIC NPN	6587108

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	9/28/2021	5/31/2027
Active	Non Resident	Agent	Property	9/28/2021	5/31/2027
* 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	AmTrust Insurance Company	300179	Agent - Casualty	2/6/2026
Active	AmTrust Insurance Company	300179	Agent - Property	2/6/2026
Inactive	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	8/17/2023	5/19/2025
Inactive	American Modern Property and Casualty Insurance Company	301954	Agent - Property	8/17/2023	5/19/2025
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	4/17/2023	1/11/2025
Inactive	Dairyland Insurance Company	301370	Agent - Property	4/17/2023	1/11/2025
Inactive	Integon Indemnity Corporation	300674	Agent - Casualty	2/14/2024	1/16/2025
Inactive	Integon Indemnity Corporation	300674	Agent - Property	2/14/2024	1/16/2025
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	5/21/2024	1/10/2025
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Property	5/21/2024	1/10/2025
Inactive	Liberty Mutual Personal Insurance Company	959584	Agent - Casualty	2/17/2022	9/26/2024
Inactive	Liberty Mutual Personal Insurance Company	959584	Agent - Property	2/17/2022	9/26/2024
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	5/12/2023	1/10/2025
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	5/12/2023	1/10/2025
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	1/6/2022	1/27/2025
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	1/6/2022	1/27/2025
Active	Security National Insurance Company	301151	Agent - Casualty	2/6/2026
Active	Security National Insurance Company	301151	Agent - Property	2/6/2026
Active	Sequoia Insurance Company	628046	Agent - Casualty	2/6/2026
Active	Sequoia Insurance Company	628046	Agent - Property	2/6/2026
Active	Technology Insurance Company	613278	Agent - Casualty	2/6/2026
Active	Technology Insurance Company	613278	Agent - Property	2/6/2026
Active	Wesco Insurance Company	300534	Agent - Casualty	2/6/2026
Active	Wesco Insurance Company	300534	Agent - Property	2/6/2026

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Helmsman Insurance Agency Llc	572054	Agent - Casualty	8/22/2024	5/19/2025
Inactive	Helmsman Insurance Agency Llc	572054	Agent - Property	8/22/2024	5/19/2025