DEPARTMENT OF INSURANCE

Affiliations

Name	Couch-Braunsdorf Affinity Inc	DOIID	645263	NAIC NPN	8982794

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	7/28/2010	3/31/2026
Active	Non Resident	Agent	Property	7/28/2010	3/31/2026
Active	Non Resident	Agent	Life	3/1/2007	3/31/2026
Active	Non Resident	Agent	Health	3/1/2007	3/31/2026
* 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	American Family Connect Property and Casualty Insurance Company	622403	Agent - Casualty	2/20/2012
Active	American Family Connect Property and Casualty Insurance Company	622403	Agent - Property	2/20/2012
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	4/23/2007	6/14/2010
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	4/23/2007	6/14/2010
Active	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	11/4/2010
Active	First Liberty Insurance Corporation (The)	301060	Agent - Property	11/4/2010
Active	LM General Insurance Company	300133	Agent - Casualty	11/4/2010
Active	LM General Insurance Company	300133	Agent - Property	11/4/2010
Active	LM Insurance Corporation	301061	Agent - Casualty	11/4/2010
Active	LM Insurance Corporation	301061	Agent - Property	11/4/2010
Active	Liberty Insurance Corporation	300444	Agent - Casualty	11/4/2010
Active	Liberty Insurance Corporation	300444	Agent - Property	11/4/2010
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	11/4/2010
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Property	11/4/2010
Active	Liberty Mutual Insurance Company	301159	Agent - Casualty	11/4/2010
Active	Liberty Mutual Insurance Company	301159	Agent - Property	11/4/2010
Active	Standard Fire Insurance Company (The)	301068	Agent - Casualty	7/31/2015
Active	Standard Fire Insurance Company (The)	301068	Agent - Property	7/31/2015
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	4/23/2007	6/14/2010
Inactive	The Phoenix Insurance Company	301502	Agent - Property	4/23/2007	6/14/2010
Inactive	TravCo Insurance Company	301828	Agent - Casualty	4/23/2007	6/14/2010
Inactive	TravCo Insurance Company	301828	Agent - Property	4/23/2007	6/14/2010
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Casualty	4/23/2007	6/14/2010
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Property	4/23/2007	6/14/2010
Inactive	Travelers Commercial Insurance Company	301506	Agent - Casualty	6/20/2017	11/26/2024
Inactive	Travelers Commercial Insurance Company	301506	Agent - Property	6/20/2017	11/26/2024
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	4/23/2007	6/14/2010
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	4/23/2007	6/14/2010
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	4/23/2007	6/14/2010
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	4/23/2007	6/14/2010
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	3/13/2018	11/26/2024
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	3/13/2018	11/26/2024
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Casualty	4/23/2007	6/14/2010
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Property	4/23/2007	6/14/2010
Active	United States Fire Insurance Company	582240	Agent - Casualty	7/19/2017
Active	United States Fire Insurance Company	582240	Agent - Property	7/19/2017

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Chibbaro, Mark C	643866	Agent - Casualty	4/13/2007	6/14/2010
Inactive	Chibbaro, Mark C	643866	Agent - Health	3/1/2007	6/14/2010
Inactive	Chibbaro, Mark C	643866	Agent - Life	3/1/2007	6/14/2010
Inactive	Chibbaro, Mark C	643866	Agent - Property	4/13/2007	6/14/2010
Active	Miller, Timothy Richard	679649	Agent - Casualty	7/28/2010
Active	Miller, Timothy Richard	679649	Agent - Health	6/14/2010
Active	Miller, Timothy Richard	679649	Agent - Life	6/14/2010
Active	Miller, Timothy Richard	679649	Agent - Property	7/28/2010