DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Bagnall, Sean Michael	DOIID	1185974	NAIC NPN	20223981

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Casualty	6/6/2023		3/31/2025
Active	Resident	Agent	Health	6/6/2023		3/31/2025
Active	Resident	Agent	Life	6/6/2023		3/31/2025
Active	Resident	Agent	Property	6/6/2023		3/31/2025
* 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	State Farm Fire and Casualty Company	301809	Agent - Casualty	6/8/2023
Active	State Farm Fire and Casualty Company	301809	Agent - Property	6/8/2023
Active	State Farm Life Insurance Company	301810	Agent - Life	6/8/2023
Active	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	6/8/2023
Active	State Farm Mutual Automobile Insurance Company	301732	Agent - Health	6/8/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	R B Brown Insurance Agency Inc.	400773	Agent - Casualty	3/7/2022	4/1/2023
Inactive	R B Brown Insurance Agency Inc.	400773	Agent - Property	3/7/2022	4/1/2023
Inactive	R B Brown Insurance Agency Inc.	400773	Agent - Life	3/7/2022	4/1/2023