DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Branch, Adam-Ross	DOIID	1335303	NAIC NPN	8590194

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	4/16/2024		7/31/2027
Active	Non Resident	Agent	Casualty	4/16/2024		7/31/2027
Active	Non Resident	Agent	Life	4/16/2024		7/31/2027
Active	Non Resident	Agent	Health	4/16/2024		7/31/2027
* 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	05/15/2025	07/31/2025	05/29/2025	05/29/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Travelers Indemnity Company (The)	301855	Agent - Casualty	12/4/2024
Active	Travelers Indemnity Company (The)	301855	Agent - Property	12/4/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	IMA Inc	766098	Agent - Casualty	6/4/2025
Pending	IMA Inc	766098	Agent - Life
Pending	IMA Inc	766098	Agent - Health
Active	IMA Inc	766098	Agent - Property	6/4/2025
Active	K.P.D. Insurance Llc	1133738	Agent - Casualty	12/4/2024
Denied	K.P.D. Insurance Llc	1133738	Agent - Life
Denied	K.P.D. Insurance Llc	1133738	Agent - Health
Active	K.P.D. Insurance Llc	1133738	Agent - Property	12/4/2024