DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Brockman, Grayson August	DOIID	1246670	NAIC NPN	20461694

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	12/13/2022		2/28/2025
Active	Non Resident	Agent	Property	12/13/2022		2/28/2025
* 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	12/15/2024	02/28/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Permanent General Assurance Corporation of Ohio	709250	Agent - Casualty	12/19/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	General Automobile Ins Services Inc	706632	Agent - Casualty	1/4/2023
Active	General Automobile Ins Services Of Ohio Inc The	719262	Agent - Casualty	1/4/2023