DEPARTMENT OF INSURANCE

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	Casualty	8/23/2019		7/31/2025
Active	Non Resident	Agent	Property	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.

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