DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Brooks, Jason Taylor	DOIID	523922	NAIC NPN	5959408

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	8/23/2019		7/31/2025
Active	Non Resident	Agent	Casualty	8/23/2019		7/31/2025
* 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	05/15/2025	07/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Church Mutual Insurance Company, S.I.	301554	Agent - Casualty	9/3/2019
Active	Church Mutual Insurance Company, S.I.	301554	Agent - Property	9/3/2019
Active	MGT Insurance Company	970661	Agent - Casualty	2/6/2020
Active	MGT Insurance Company	970661	Agent - Property	2/6/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	C M I C Specialty Services Inc	645077	Agent - Casualty	6/7/2022
Active	C M I C Specialty Services Inc	645077	Agent - Property	6/7/2022