DEPARTMENT OF INSURANCE

Affiliations

Name	Curtis, Brian Curtis	DOIID	667344	NAIC NPN	9839163

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Health	2/23/2010	3/31/2026
Active	Resident	Agent	Life	2/23/2010	3/31/2026
Active	Resident	Agent	Property	12/4/2007	3/31/2026
Active	Resident	Agent	Casualty	12/18/2007	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
Inactive	Allstate Indemnity Company	300778	Agent - Casualty	2/28/2008	3/13/2009
Inactive	Allstate Indemnity Company	300778	Agent - Property	2/28/2008	3/13/2009
Inactive	Allstate Insurance Company	300773	Agent - Casualty	2/28/2008	3/13/2009
Inactive	Allstate Insurance Company	300773	Agent - Property	2/28/2008	3/13/2009
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	2/28/2008	3/13/2009
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Property	2/28/2008	3/13/2009
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	7/23/2015	11/14/2021
Inactive	American Family Home Insurance Company	301817	Agent - Property	7/23/2015	11/14/2021
Active	American Modern Home Insurance Company	300791	Agent - Casualty	1/26/2023
Active	American Modern Home Insurance Company	300791	Agent - Property	1/26/2023
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	9/20/2018
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	9/20/2018
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	7/23/2015	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	7/23/2015	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	7/23/2015	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	7/23/2015	11/14/2021
Active	Berkshire Life Insurance Company of America	300983	Agent - Health	8/23/2016
Active	Berkshire Life Insurance Company of America	300983	Agent - Life	8/23/2016
Active	Bristol West Insurance Company	301655	Agent - Casualty	8/21/2010
Active	Bristol West Insurance Company	301655	Agent - Property	8/21/2010
Active	Dairyland Insurance Company	301370	Agent - Casualty	6/10/2010
Active	Dairyland Insurance Company	301370	Agent - Property	6/10/2010
Active	FB Insurance Company (The)	301763	Agent - Casualty	5/28/2010
Active	FB Insurance Company (The)	301763	Agent - Health	5/28/2010
Active	FB Insurance Company (The)	301763	Agent - Property	5/28/2010
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/30/2010
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/30/2010
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	8/23/2016	10/5/2021
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	8/23/2016	10/5/2021
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	8/27/2015	11/2/2016
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	8/27/2015	11/2/2016
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	5/28/2010
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Health	5/28/2010
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	5/28/2010
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	5/28/2010
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	5/28/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Designated Agent Company Inc.	681257	Agent - Life	12/12/2013
Active	Designated Agent Company Inc.	681257	Agent - Health	12/12/2013
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	5/28/2010
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	5/28/2010
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	5/28/2010
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	5/28/2010
Active	Southern Capital Brokerage Co LLC	577403	Agent - Life	8/17/2016
Active	Southern Capital Brokerage Co LLC	577403	Agent - Health	8/17/2016