DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Bennette, Bradley	DOIID	1180924	NAIC NPN	8488535

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	1/3/2022		7/31/2026
Active	Non Resident	Agent	Casualty	1/3/2022		7/31/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	1/3/2022		7/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	05/15/2024	07/31/2024	05/24/2024	05/24/2024	Yes
Surplus Lines Broker	05/15/2024	07/31/2024	05/24/2024	05/24/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	2/13/2022	6/14/2023
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	2/13/2022	6/14/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Risk Specialists Companies Ins Agency Inc	669694	Agent - Casualty	3/10/2022	6/12/2023
Inactive	Risk Specialists Companies Ins Agency Inc	669694	Agent - Property	3/10/2022	6/12/2023
Inactive	Risk Specialists Companies Ins Agency Inc	669694	Surplus Lines Broker - Not Applicable	3/10/2022	1/25/2024