DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Stein, Brook T	DOIID	1185016	NAIC NPN	20064005

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	1/27/2022	9/1/2023
Inactive	Non Resident	Agent	Casualty	1/27/2022	9/1/2023
Pending Replacement	Non Resident	Staff Adjuster	Property & Casualty	3/8/2023		6/30/2024
* 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
Staff Adjuster	04/15/2024	06/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	2/4/2022	9/19/2022
Inactive	American Modern Property and Casualty Insurance Company	301954	Agent - Property	2/4/2022	9/19/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Atlas Ins Agcy Inc	523813	Agent - Casualty	2/4/2022	9/19/2022
Inactive	Atlas Ins Agcy Inc	523813	Agent - Property	2/4/2022	9/19/2022