DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Mack, Brittany Nicole	DOIID	1221256	NAIC NPN	20414353

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	8/4/2022		12/31/2024
Active	Non Resident	Agent	Personal Lines	8/4/2022		12/31/2024
Active	Non Resident	Agent	Health	8/4/2022		12/31/2024
* 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
Agent	10/15/2024	12/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AMEX Assurance Company	301728	Agent - Health	8/10/2022	3/9/2023
Inactive	AMEX Assurance Company	301728	Agent - Personal Lines	8/10/2022	3/9/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Assurant Insurance Agency, Inc	559398	Agent - Life
Inactive	Assurant Insurance Agency, Inc	559398	Agent - Health	8/18/2022	3/9/2023