DEPARTMENT OF INSURANCE
Affiliations
NameMills Jr, Brent AllanDOIID1340487NAIC NPN17525089
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentProperty5/15/2024 2/28/2026
ActiveNon ResidentAgentCasualty5/15/2024 2/28/2026
ActiveNon ResidentAgentLife5/15/2024 2/28/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent12/15/202502/28/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAAA Life Insurance Company300287Agent - Life6/4/2024 
ActiveBristol West Insurance Company301655Agent - Casualty10/14/2024 
ActiveBristol West Insurance Company301655Agent - Property10/14/2024 
ActiveCSAA Fire & Casualty Insurance Company606666Agent - Casualty5/31/2024 
ActiveCSAA Fire & Casualty Insurance Company606666Agent - Property5/31/2024 
ActiveCSAA General Insurance Company606675Agent - Casualty5/31/2024 
ActiveCSAA General Insurance Company606675Agent - Property5/31/2024 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty10/14/2024 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property10/14/2024 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAca Club Insurance Agency, Inc.1033550Agent - Casualty5/31/2024 
ActiveAca Club Insurance Agency, Inc.1033550Agent - Life6/4/2024 
ActiveAca Club Insurance Agency, Inc.1033550Agent - Property5/31/2024 

© Commonwealth of Kentucky. All rights reserved.