DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Brickner, Janice Wallace	DOIID	568355	NAIC NPN	7631070

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	4/18/2003	2/1/2006
Inactive	Non Resident	Agent	Property	4/18/2003	2/1/2006
* 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 Guarantee and Liability Insurance Company	301216	Agent - Casualty	1/25/2005	2/1/2006
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Property	1/25/2005	2/1/2006
Inactive	American Zurich Insurance Company	300592	Agent - Casualty	1/25/2005	2/1/2006
Inactive	American Zurich Insurance Company	300592	Agent - Property	1/25/2005	2/1/2006
Inactive	Hartford Steam Boiler Inspection and Insurance Company	300799	Agent - Casualty	6/14/2004	2/1/2006
Inactive	Hartford Steam Boiler Inspection and Insurance Company	300799	Agent - Property	6/14/2004	2/1/2006
Inactive	Zurich American Insurance Company	301121	Agent - Casualty	1/25/2005	2/1/2006
Inactive	Zurich American Insurance Company	301121	Agent - Property	1/25/2005	2/1/2006
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	1/25/2005	2/1/2006
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Property	1/25/2005	2/1/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	USI Insurance Services National, Inc	509421	Agent - Casualty	1/25/2005	2/1/2006
Inactive	USI Insurance Services National, Inc	509421	Agent - Property	1/25/2005	2/1/2006