DEPARTMENT OF INSURANCE

Affiliations

Name	Brake, Debra M	DOIID	389617	NAIC NPN	5469620

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	8/15/2000		10/31/2024
Active	Non Resident	Agent	Casualty	8/15/2000		10/31/2024
Inactive	Non Resident	Agent	General Lines	6/11/1999	8/15/2000
* 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	08/15/2024	10/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AIG Assurance Company	300897	Agent - Casualty	8/15/2000	6/17/2009
Inactive	AIG Assurance Company	300897	Agent - General Lines	6/11/1999	8/15/2000
Inactive	AIG Assurance Company	300897	Agent - Property	8/15/2000	6/17/2009
Inactive	AIG Property Casualty Company	300621	Agent - Casualty	8/15/2000	6/17/2009
Inactive	AIG Property Casualty Company	300621	Agent - General Lines	6/11/1999	8/15/2000
Inactive	AIG Property Casualty Company	300621	Agent - Property	8/15/2000	6/17/2009
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	10/7/2008	10/28/2010
Inactive	American Fire and Casualty Company	300567	Agent - Property	10/7/2008	10/28/2010
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	10/9/2007	6/16/2009
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Property	10/9/2007	6/16/2009
Inactive	American Home Assurance Company	300246	Agent - Casualty	8/15/2000	6/17/2009
Inactive	American Home Assurance Company	300246	Agent - General Lines	6/11/1999	8/15/2000
Inactive	American Home Assurance Company	300246	Agent - Property	8/15/2000	6/17/2009
Inactive	American Zurich Insurance Company	300592	Agent - Casualty	10/9/2007	6/16/2009
Inactive	American Zurich Insurance Company	300592	Agent - Property	10/9/2007	6/16/2009
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	2/4/2008	10/28/2010
Inactive	Consolidated Insurance Company	300943	Agent - Property	2/4/2008	10/28/2010
Inactive	First National Insurance Company of America	301690	Agent - Casualty	10/7/2008	10/28/2010
Inactive	First National Insurance Company of America	301690	Agent - Property	10/7/2008	10/28/2010
Inactive	General Insurance Company of America	300261	Agent - Casualty	10/7/2008	10/28/2010
Inactive	General Insurance Company of America	300261	Agent - Property	10/7/2008	10/28/2010
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	10/4/2007	11/5/2008
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	10/4/2007	11/5/2008
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	10/4/2007	11/5/2008
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	10/4/2007	11/5/2008
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	10/4/2007	6/18/2009
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	10/4/2007	6/18/2009
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	10/4/2007	6/18/2009
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	10/4/2007	6/18/2009
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	10/4/2007	11/5/2008
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	10/4/2007	11/5/2008
Inactive	Indiana Insurance Company	301909	Agent - Casualty	2/4/2008	10/28/2010
Inactive	Indiana Insurance Company	301909	Agent - Property	2/4/2008	10/28/2010
Inactive	Insurance Company of the State of Pennsylvania	300807	Agent - Casualty	8/15/2000	6/17/2009
Inactive	Insurance Company of the State of Pennsylvania	300807	Agent - General Lines	6/11/1999	8/15/2000
Inactive	Insurance Company of the State of Pennsylvania	300807	Agent - Property	8/15/2000	6/17/2009
Inactive	Lincoln General Insurance Company	301580	Agent - Casualty	8/15/2000	5/30/2007
Inactive	Lincoln General Insurance Company	301580	Agent - General Lines	12/9/1999	8/15/2000
Inactive	Lincoln General Insurance Company	301580	Agent - Property	8/15/2000	5/30/2007
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	8/15/2000	6/17/2009
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - General Lines	6/11/1999	8/15/2000
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	8/15/2000	6/17/2009
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	2/4/2008	10/28/2010
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	2/4/2008	10/28/2010
Inactive	New Hampshire Insurance Company	301670	Agent - Casualty	8/15/2000	6/17/2009
Inactive	New Hampshire Insurance Company	301670	Agent - General Lines	6/11/1999	8/15/2000
Inactive	New Hampshire Insurance Company	301670	Agent - Property	8/15/2000	6/17/2009
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	10/7/2008	10/28/2010
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	10/7/2008	10/28/2010
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	10/7/2008	10/28/2010
Inactive	Ohio Security Insurance Company	300622	Agent - Property	10/7/2008	10/28/2010
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	2/4/2008	10/28/2010
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	2/4/2008	10/28/2010
Inactive	Peerless Insurance Company	301910	Agent - Casualty	2/4/2008	10/28/2010
Inactive	Peerless Insurance Company	301910	Agent - Property	2/4/2008	10/28/2010
Inactive	RLI Insurance Company	301217	Agent - Casualty	10/2/2000	3/10/2004
Inactive	RLI Insurance Company	301217	Agent - Property	10/2/2000	3/10/2004
Inactive	Reliance Insurance Company	300785	Agent - Casualty	8/15/2000	6/5/2001
Inactive	Reliance Insurance Company	300785	Agent - General Lines	12/20/1999	8/15/2000
Inactive	Reliance Insurance Company	300785	Agent - Property	8/15/2000	6/5/2001
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	10/7/2008	10/28/2010
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	10/7/2008	10/28/2010
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	10/7/2008	10/28/2010
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	10/7/2008	10/28/2010
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	10/4/2007	11/5/2008
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	10/4/2007	11/5/2008
Inactive	Sentry Select Insurance Company	301648	Agent - Casualty	12/16/2016	6/16/2020
Inactive	Sentry Select Insurance Company	301648	Agent - Property	12/16/2016	6/16/2020
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	10/4/2007	6/18/2009
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	10/4/2007	6/18/2009
Inactive	West American Insurance Company	301112	Agent - Casualty	10/7/2008	10/28/2010
Inactive	West American Insurance Company	301112	Agent - Property	10/7/2008	10/28/2010
Inactive	Zurich American Insurance Company	301121	Agent - Casualty	10/9/2007	6/16/2009
Inactive	Zurich American Insurance Company	301121	Agent - Property	10/9/2007	6/16/2009
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	10/9/2007	6/16/2009
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Property	10/9/2007	6/16/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Capacity Southeast Agency LLC	930842	Agent - Property	9/26/2016	3/31/2022
Inactive	Capacity Southeast Agency LLC	930842	Agent - Casualty	9/26/2016	3/31/2022
Inactive	James A Scott & Son Inc	509408	Agent - Property	10/9/2006	7/23/2009
Inactive	James A Scott & Son Inc	509408	Agent - Casualty	10/9/2006	7/23/2009
Denied	Reliance Partners LLC	756258	Agent - Property
Denied	Reliance Partners LLC	756258	Agent - Casualty