DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Ray, Brent M	DOIID	667856	NAIC NPN	8781351

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Personal Lines	11/7/2007	11/12/2013
Inactive	Non Resident	Agent	Casualty	11/7/2007	11/12/2013
Inactive	Non Resident	Agent	Property	11/7/2007	11/12/2013
* 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	Empire Fire and Marine Insurance Company	300666	Agent - Casualty	3/12/2008	1/7/2013
Inactive	Empire Fire and Marine Insurance Company	300666	Agent - Property	3/12/2008	1/7/2013
Inactive	Universal Underwriters Insurance Company	301558	Agent - Casualty	11/12/2007	1/7/2013
Inactive	Universal Underwriters Insurance Company	301558	Agent - Property	11/12/2007	1/7/2013
Inactive	Universal Underwriters of Texas Insurance Company	639543	Agent - Casualty	6/24/2010	1/7/2013
Inactive	Universal Underwriters of Texas Insurance Company	639543	Agent - Property	6/24/2010	1/7/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Zurich Agency Services Inc	400817	Agent - Casualty	11/12/2007	1/7/2013
Inactive	Zurich Agency Services Inc	400817	Agent - Property	11/12/2007	1/7/2013