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	Casualty	12/6/2001	3/31/2027
Active	Non Resident	Agent	Property	12/6/2001	3/31/2027
Active	Non Resident	Agent	Health	8/30/2012	3/31/2027
Active	Non Resident	Agent	Life	8/30/2012	3/31/2027
* 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
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
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	5/9/2013	10/3/2024
Inactive	Encompass Indemnity Company	546376	Agent - Property	5/9/2013	10/3/2024
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
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	12/29/2015	9/26/2024
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	12/29/2015	9/26/2024
Inactive	Peerless Insurance Company	301910	Agent - Casualty	12/29/2015	5/8/2025
Inactive	Peerless Insurance Company	301910	Agent - Property	12/29/2015	5/8/2025
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