DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Brockman, Charlena Denae	DOIID	1272324	NAIC NPN	20702297

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Casualty	5/15/2023		10/31/2025
Active	Resident	Agent	Property	5/22/2023		10/31/2025
* 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	08/15/2025	10/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	National American Insurance Company	301352	Agent - Casualty	12/13/2023
Active	National American Insurance Company	301352	Agent - Property	12/13/2023
Active	Old Republic Insurance Company	301225	Agent - Casualty	12/11/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Ins Group Of America LLC	858782	Agent - Casualty	3/6/2024
Active	Ins Group Of America LLC	858782	Agent - Property	3/6/2024