DEPARTMENT OF INSURANCE

Affiliations

Name	Weber, Brian Keith	DOIID	687593	NAIC NPN	2599186

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	7/2/2019		12/31/2024
Active	Non Resident	Agent	Life	7/2/2019		12/31/2024
Active	Non Resident	Agent	Personal Lines	7/2/2019		12/31/2024
Active	Non Resident	Agent	Property	7/2/2019		12/31/2024
Active	Non Resident	Agent	Health	7/2/2019		12/31/2024
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	11/10/2015	5/18/2016
* 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	10/15/2024	12/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	ACE American Insurance Company	300625	Agent - Casualty	10/8/2008	10/10/2017
Inactive	ACE American Insurance Company	300625	Agent - Property	10/8/2008	10/10/2017
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	12/8/2015	5/19/2017
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Property	12/8/2015	5/19/2017
Inactive	American Zurich Insurance Company	300592	Agent - Casualty	12/8/2015	5/19/2017
Inactive	American Zurich Insurance Company	300592	Agent - Property	12/8/2015	5/19/2017
Inactive	Bankers Standard Insurance Company	301620	Agent - Casualty	10/8/2008	10/10/2017
Inactive	Bankers Standard Insurance Company	301620	Agent - Property	10/8/2008	10/10/2017
Inactive	Capitol Indemnity Corporation	301030	Agent - Casualty	5/5/2010	1/13/2017
Inactive	Capitol Indemnity Corporation	301030	Agent - Property	5/5/2010	1/13/2017
Inactive	Empire Fire and Marine Insurance Company	300666	Agent - Casualty	11/6/2014	5/25/2017
Inactive	Empire Fire and Marine Insurance Company	300666	Agent - Property	11/6/2014	5/25/2017
Active	Falls Lake National Insurance Company	301796	Agent - Casualty	5/26/2021
Active	Falls Lake National Insurance Company	301796	Agent - Property	5/26/2021
Inactive	Great American Insurance Company	301586	Agent - Casualty	7/15/2011	10/10/2017
Inactive	Great American Insurance Company	301586	Agent - Property	7/15/2011	10/10/2017
Inactive	Indemnity Insurance Company of North America	301760	Agent - Casualty	10/8/2008	10/10/2017
Inactive	Indemnity Insurance Company of North America	301760	Agent - Property	10/8/2008	10/10/2017
Inactive	International Fidelity Insurance Company	301131	Agent - Casualty	6/16/2016	10/19/2017
Inactive	Mount Vernon Fire Insurance Company	301397	Agent - Casualty	1/30/2013	11/21/2017
Inactive	Mount Vernon Fire Insurance Company	301397	Agent - Property	1/30/2013	11/21/2017
Inactive	National General Insurance Company	300152	Agent - Casualty	9/27/2013	10/10/2017
Inactive	National General Insurance Company	300152	Agent - Property	9/27/2013	10/10/2017
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Health	10/31/2014	12/12/2016
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	10/31/2014	12/12/2016
Inactive	Pacific Employers Insurance Company	301753	Agent - Casualty	10/8/2008	10/10/2017
Inactive	Pacific Employers Insurance Company	301753	Agent - Property	10/8/2008	10/10/2017
Inactive	Platte River Insurance Company	301089	Agent - Casualty	5/5/2010	1/13/2017
Inactive	Platte River Insurance Company	301089	Agent - Property	5/5/2010	1/13/2017
Inactive	RLI Insurance Company	301217	Agent - Casualty	7/23/2009	6/20/2017
Inactive	RLI Insurance Company	301217	Agent - Property	7/23/2009	6/20/2017
Inactive	Universal Underwriters Insurance Company	301558	Agent - Casualty	9/5/2008	5/25/2017
Inactive	Universal Underwriters Insurance Company	301558	Agent - Property	9/5/2008	5/25/2017
Inactive	Universal Underwriters Life Insurance Company	301200	Agent - Health	9/5/2008	9/30/2016
Inactive	Universal Underwriters Life Insurance Company	301200	Agent - Life	9/5/2008	9/30/2016
Inactive	Universal Underwriters of Texas Insurance Company	639543	Agent - Casualty	7/23/2010	5/25/2017
Inactive	Universal Underwriters of Texas Insurance Company	639543	Agent - Property	7/23/2010	5/25/2017
Inactive	Westfield Insurance Company	301950	Agent - Casualty	1/10/2014	9/28/2015
Inactive	Westfield Insurance Company	301950	Agent - Property	1/10/2014	9/28/2015
Inactive	Zurich American Insurance Company	301121	Agent - Casualty	12/8/2015	5/19/2017
Inactive	Zurich American Insurance Company	301121	Agent - Property	12/8/2015	5/19/2017
Inactive	Zurich American Life Insurance Company	300216	Agent - Health	9/30/2016	6/12/2017
Inactive	Zurich American Life Insurance Company	300216	Agent - Life	9/30/2016	6/7/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Paragon Insurance Holdings, Llc	841439	Agent - Property	3/6/2017	10/10/2017
Inactive	Paragon Insurance Holdings, Llc	841439	Agent - Casualty	3/6/2017	10/10/2017
Inactive	Zurich Agency Services Inc	400817	Agent - Life	12/1/2008	4/11/2017
Inactive	Zurich Agency Services Inc	400817	Agent - Health	12/1/2008	4/11/2017
Inactive	Zurich Agency Services Inc	400817	Agent - Property	12/1/2008	4/11/2017
Inactive	Zurich Agency Services Inc	400817	Agent - Casualty	12/1/2008	4/11/2017
Inactive	Zurich Agency Services Inc	400817	Surplus Lines Broker - Not Applicable	11/17/2015	5/18/2016