DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Carrillo, Brenda	DOIID	1373334	NAIC NPN	20360727

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Casualty	11/20/2024		9/30/2026
Pending Replacement	Non Resident	Agent	Property	11/20/2024		9/30/2026
* 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	07/15/2026	09/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Family Connect Property and Casualty Insurance Company	622403	Agent - Casualty	12/6/2024	10/5/2026
Inactive	American Family Connect Property and Casualty Insurance Company	622403	Agent - Property	12/6/2024	10/5/2026
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	11/21/2024	10/2/2026
Inactive	American Modern Home Insurance Company	300791	Agent - Property	11/21/2024	10/2/2026
Pending Replacement	Bristol West Insurance Company	301655	Agent - Casualty	9/11/2025
Pending Replacement	Bristol West Insurance Company	301655	Agent - Property	9/11/2025
Pending Replacement	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	9/11/2025
Pending Replacement	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	9/11/2025
Inactive	Homesite Insurance Company	301139	Agent - Casualty	12/6/2024	10/5/2026
Inactive	Homesite Insurance Company	301139	Agent - Property	12/6/2024	10/5/2026
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Casualty	12/6/2024	10/5/2026
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Property	12/6/2024	10/5/2026
Inactive	Midvale Indemnity Company	300292	Agent - Casualty	12/6/2024	10/5/2026
Inactive	Midvale Indemnity Company	300292	Agent - Property	12/6/2024	10/5/2026

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	American Family Connect Insurance Agency, Inc.	619157	Agent - Casualty	1/10/2025
Pending Replacement	American Family Connect Insurance Agency, Inc.	619157	Agent - Property	1/10/2025