DEPARTMENT OF INSURANCE

Affiliations

Name	Paine, Brett Thomas	DOIID	592197	NAIC NPN	7673113

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	5/17/2022	8/31/2024
Active	Non Resident	Agent	Property	5/17/2022	8/31/2024
Active	Non Resident	Surplus Lines Broker	Not Applicable	5/17/2022	8/31/2024
* 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	06/15/2024	08/31/2024
Surplus Lines Broker	06/15/2024	08/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AIG Assurance Company	300897	Agent - Casualty	11/12/2007	9/6/2011
Inactive	AIG Assurance Company	300897	Agent - Property	11/12/2007	9/6/2011
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Casualty	10/23/2006	7/23/2009
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Property	10/23/2006	7/23/2009
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	8/30/2004	2/24/2011
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	8/30/2004	2/24/2011
Inactive	Electric Insurance Company	301758	Agent - Casualty	7/30/2004	1/18/2011
Inactive	Electric Insurance Company	301758	Agent - Property	7/30/2004	1/18/2011
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	8/17/2006	2/26/2009
Inactive	Encompass Indemnity Company	546376	Agent - Property	8/17/2006	2/26/2009
Inactive	Esurance Insurance Company	301072	Agent - Casualty	4/10/2008	6/27/2011
Inactive	Esurance Insurance Company	301072	Agent - Property	4/10/2008	6/27/2011
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	8/13/2009	1/20/2011
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	8/13/2009	1/20/2011
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	1/21/2006	9/6/2011
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	1/21/2006	9/6/2011
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	11/12/2007	9/6/2011
Inactive	Illinois National Insurance Company	301367	Agent - Property	11/12/2007	9/6/2011
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Casualty	11/12/2007	1/11/2011
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Property	11/12/2007	1/11/2011
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	8/17/2004	2/1/2011
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	8/17/2004	2/1/2011
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	8/17/2004	2/1/2011
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	8/17/2004	2/1/2011
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	4/2/2008	9/6/2011
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	4/2/2008	9/6/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Inslogic Corporation	513852	Agent - Property	8/5/2004	9/11/2006
Inactive	Inslogic Corporation	513852	Agent - Casualty	8/5/2004	9/11/2006
Inactive	Insurance Answer Center LLC	694353	Agent - Property	12/5/2008	1/14/2011
Inactive	Insurance Answer Center LLC	694353	Agent - Casualty	12/5/2008	1/14/2011
Inactive	Insurance Answer Center LLC	401337	Agent - Property	3/9/2006	3/31/2009
Inactive	Insurance Answer Center LLC	401337	Agent - Casualty	3/9/2006	3/31/2009