DEPARTMENT OF INSURANCE

Affiliations

Name	Brooks & Stafford Co	DOIID	542347	NAIC NPN	957569

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	8/30/2012	3/31/2025
Active	Non Resident	Agent	Life	8/30/2012	3/31/2025
Active	Non Resident	Agent	Property	12/6/2001	3/31/2025
Active	Non Resident	Agent	Casualty	12/6/2001	3/31/2025
* 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	01/15/2025	03/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Casualty	8/19/2002	12/2/2004
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Property	8/19/2002	12/2/2004
Inactive	American Economy Insurance Company	300315	Agent - Casualty	11/9/2019	3/29/2024
Inactive	American Economy Insurance Company	300315	Agent - Property	11/9/2019	3/29/2024
Active	American Family Home Insurance Company	301817	Agent - Casualty	10/12/2020
Active	American Family Home Insurance Company	301817	Agent - Property	10/12/2020
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	12/29/2015	3/29/2024
Inactive	American Fire and Casualty Company	300567	Agent - Property	12/29/2015	3/29/2024
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/19/2012	12/10/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/19/2012	12/10/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/19/2012	12/10/2020
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	12/29/2015	10/13/2022
Inactive	Consolidated Insurance Company	300943	Agent - Property	12/29/2015	10/13/2022
Inactive	Continental Casualty Company	301019	Agent - Casualty	8/19/2002	12/2/2004
Inactive	Continental Casualty Company	301019	Agent - Property	8/19/2002	12/2/2004
Inactive	Continental Insurance Company (The)	301242	Agent - Casualty	8/23/2002	12/21/2004
Inactive	Continental Insurance Company (The)	301242	Agent - Property	8/23/2002	12/21/2004
Active	Encompass Indemnity Company	546376	Agent - Casualty	5/9/2013
Active	Encompass Indemnity Company	546376	Agent - Property	5/9/2013
Inactive	Encompass Insurance Company of America	556578	Agent - Casualty	5/9/2013	12/13/2018
Inactive	Encompass Insurance Company of America	556578	Agent - Property	5/9/2013	12/13/2018
Inactive	Golden Rule Insurance Company	301943	Agent - Health	9/20/2012	12/21/2017
Inactive	Golden Rule Insurance Company	301943	Agent - Life	9/20/2012	12/21/2017
Inactive	Hallmark National Insurance Company	300494	Agent - Casualty	8/9/2006	10/23/2017
Inactive	Hallmark National Insurance Company	300494	Agent - Property	8/9/2006	10/23/2017
Inactive	Indiana Insurance Company	301909	Agent - Casualty	12/29/2015	2/3/2023
Inactive	Indiana Insurance Company	301909	Agent - Property	12/29/2015	2/3/2023
Active	Meridian Security Insurance Company	300423	Agent - Casualty	2/6/2007
Active	Meridian Security Insurance Company	300423	Agent - Property	2/6/2007
Active	Milbank Insurance Company	925185	Agent - Casualty	11/8/2017
Active	Milbank Insurance Company	925185	Agent - Property	11/8/2017
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Casualty	8/19/2002	12/2/2004
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Property	8/19/2002	12/2/2004
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	12/29/2015	5/10/2024
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	12/29/2015	5/10/2024
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	12/29/2015	3/29/2024
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	12/29/2015	3/29/2024
Active	Ohio Farmers Insurance Company	301667	Agent - Casualty	12/6/2001
Active	Ohio Farmers Insurance Company	301667	Agent - Property	12/6/2001
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	12/29/2015	3/29/2024
Inactive	Ohio Security Insurance Company	300622	Agent - Property	12/29/2015	3/29/2024
Active	Peerless Indemnity Insurance Company	571682	Agent - Casualty	12/29/2015
Active	Peerless Indemnity Insurance Company	571682	Agent - Property	12/29/2015
Active	Peerless Insurance Company	301910	Agent - Casualty	12/29/2015
Active	Peerless Insurance Company	301910	Agent - Property	12/29/2015
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	5/16/2013	3/29/2024
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	5/16/2013	3/29/2024
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	5/16/2013	3/29/2024
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	5/16/2013	3/29/2024
Active	State Auto Property & Casualty Insurance Company	301953	Agent - Casualty	8/9/2006
Active	State Auto Property & Casualty Insurance Company	301953	Agent - Property	8/9/2006
Active	State Automobile Mutual Insurance Company	301824	Agent - Casualty	8/9/2006
Active	State Automobile Mutual Insurance Company	301824	Agent - Property	8/9/2006
Inactive	Transcontinental Insurance Company	301731	Agent - Casualty	8/19/2002	12/2/2004
Inactive	Transcontinental Insurance Company	301731	Agent - Property	8/19/2002	12/2/2004
Inactive	Transportation Insurance Company	301575	Agent - Casualty	8/19/2002	12/2/2004
Inactive	Transportation Insurance Company	301575	Agent - Property	8/19/2002	12/2/2004
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	9/11/2018	12/15/2020
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	9/11/2018	12/15/2020
Inactive	Valley Forge Insurance Company	301052	Agent - Casualty	8/19/2002	12/2/2004
Inactive	Valley Forge Insurance Company	301052	Agent - Property	8/19/2002	12/2/2004
Inactive	West American Insurance Company	301112	Agent - Casualty	12/29/2015	3/29/2024
Inactive	West American Insurance Company	301112	Agent - Property	12/29/2015	3/29/2024
Active	Westfield Insurance Company	301950	Agent - Casualty	12/6/2001
Active	Westfield Insurance Company	301950	Agent - Property	12/6/2001
Active	Westfield National Insurance Company	301036	Agent - Casualty	5/31/2012
Active	Westfield National Insurance Company	301036	Agent - Property	5/31/2012

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Bentley, Michael Keith	501739	Agent - Health	8/30/2012
Active	Bentley, Michael Keith	501739	Agent - Life	8/30/2012
Active	Kunze, John R	316158	Agent - Casualty	12/6/2001
Active	Kunze, John R	316158	Agent - Property	12/6/2001