DEPARTMENT OF INSURANCE

Affiliations

Name	Venbrook Insurance Services	DOIID	664193	NAIC NPN	7501090

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	11/8/2017	3/31/2025
Active	Non Resident	Agent	Life	10/31/2022	3/31/2025
Active	Non Resident	Agent	Health	10/31/2022	3/31/2025
Active	Non Resident	Agent	Property	11/8/2017	3/31/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	2/14/2019	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
Surplus Lines Broker	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 Economy Insurance Company	300315	Agent - Casualty	9/3/2021	3/29/2024
Inactive	American Economy Insurance Company	300315	Agent - Property	9/3/2021	3/29/2024
Inactive	Arch Insurance Company	300688	Agent - Casualty	4/16/2010	3/5/2012
Inactive	Arch Insurance Company	300688	Agent - Property	4/16/2010	3/5/2012
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/19/2019	6/5/2019
Inactive	Fireman's Fund Insurance Company	301423	Agent - Casualty	4/27/2010	3/5/2012
Inactive	Fireman's Fund Insurance Company	301423	Agent - Property	4/27/2010	3/5/2012
Active	Hartford Fire Insurance Company	300628	Agent - Casualty	11/16/2017
Active	Hartford Fire Insurance Company	300628	Agent - Property	11/16/2017
Active	Hudson Insurance Company	523144	Agent - Casualty	5/15/2018
Active	Hudson Insurance Company	523144	Agent - Property	5/15/2018
Inactive	Humana Insurance Company	301104	Agent - Health	3/19/2019	6/5/2019
Inactive	Humana Insurance Company	301104	Agent - Life	3/19/2019	6/5/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	3/20/2019	6/5/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	3/20/2019	6/5/2019
Active	Independence American Insurance Company	524747	Agent - Casualty	4/3/2024
Active	Independence American Insurance Company	524747	Agent - Property	4/3/2024
Active	Mitsui Sumitomo Insurance Company of America	301070	Agent - Casualty	12/5/2017
Active	Mitsui Sumitomo Insurance Company of America	301070	Agent - Property	12/5/2017
Active	Mitsui Sumitomo Insurance USA Inc.	301681	Agent - Casualty	12/5/2017
Active	Mitsui Sumitomo Insurance USA Inc.	301681	Agent - Property	12/5/2017
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	9/3/2021	3/29/2024
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	9/3/2021	3/29/2024
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	9/3/2021	3/29/2024
Inactive	Ohio Security Insurance Company	300622	Agent - Property	9/3/2021	3/29/2024
Active	Philadelphia Indemnity Insurance Company	301221	Agent - Casualty	2/1/2022
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	9/3/2021	3/29/2024
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	9/3/2021	3/29/2024
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	9/3/2021	3/29/2024
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	9/3/2021	3/29/2024
Active	Safety National Casualty Corporation	300390	Agent - Casualty	3/1/2023
Active	Safety National Casualty Corporation	300390	Agent - Property	3/1/2023
Active	Toggle Insurance Company	724909	Agent - Casualty	9/29/2021
Active	Toggle Insurance Company	724909	Agent - Property	9/29/2021
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	2/19/2018	12/15/2020
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Property	2/19/2018	12/15/2020
Active	Twin City Fire Insurance Company	300721	Agent - Casualty	2/14/2022
Active	Twin City Fire Insurance Company	300721	Agent - Property	2/14/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	5/31/2018	7/21/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	5/31/2018	7/21/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	5/31/2018	7/21/2022
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	3/31/2022	7/21/2022

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Allen, Jason Gabriel	708852	Agent - Casualty	6/22/2023
Active	Allen, Jason Gabriel	708852	Agent - Health	6/22/2023
Denied	Allen, Jason Gabriel	708852	Agent - Life
Active	Allen, Jason Gabriel	708852	Agent - Property	6/22/2023
Inactive	Bishara, Marc Joseph	611960	Agent - Casualty	1/8/2010	3/5/2012
Inactive	Bishara, Marc Joseph	611960	Agent - Property	1/8/2010	3/5/2012
Active	Carlson, Curt D	935849	Agent - Casualty	6/17/2024
Active	Carlson, Curt D	935849	Agent - Property	6/17/2024
Denied	Conway, Michael Anthony	803785	Agent - Health
Denied	Conway, Michael Anthony	803785	Agent - Life
Inactive	Corenson, Robert Gary	984016	Agent - Health	5/29/2018	7/21/2022
Inactive	Corenson, Robert Gary	984016	Agent - Life	5/29/2018	7/21/2022
Active	Johnston, Timothy Fred	988769	Agent - Casualty	9/17/2023
Active	Johnston, Timothy Fred	988769	Agent - Property	9/17/2023
Active	Lang, Jeffrey Francis	1247137	Agent - Casualty	1/22/2024
Active	Lang, Jeffrey Francis	1247137	Agent - Property	1/22/2024
Active	Lang, Jeffrey Francis	1247137	Surplus Lines Broker - Not Applicable	6/22/2023
Denied	Martin, Robert Lawrence	354144	Agent - Casualty
Denied	Martin, Robert Lawrence	354144	Agent - Property
Active	Myers, Alison Joy	1229337	Agent - Health	8/25/2023
Active	Myers, Alison Joy	1229337	Agent - Life	8/25/2023
Active	Sheridan, Pamala Marie	875972	Agent - Casualty	7/21/2022
Active	Sheridan, Pamala Marie	875972	Agent - Health	10/31/2022
Active	Sheridan, Pamala Marie	875972	Agent - Life	10/31/2022
Active	Sheridan, Pamala Marie	875972	Agent - Property	7/21/2022
Active	Sheridan, Pamala Marie	875972	Surplus Lines Broker - Not Applicable	7/21/2022
Inactive	Turner, Jason Dexter	769069	Agent - Casualty	11/8/2017	7/21/2022
Inactive	Turner, Jason Dexter	769069	Agent - Property	11/8/2017	7/21/2022
Inactive	Turner, Jason Dexter	769069	Surplus Lines Broker - Not Applicable	2/14/2019	7/21/2022