DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Bussell, Berni H	DOIID	749952	NAIC NPN	3427151

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Casualty	3/14/2011		2/28/2025
Pending Replacement	Non Resident	Agent	Property	3/14/2011		2/28/2025
Pending Replacement	Non Resident	Reinsurance Intermediary Broker	Not Applicable	5/4/2011		2/28/2025
* 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	12/15/2024	02/28/2025
Reinsurance Intermediary Broker	12/15/2024	02/28/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	Brown & Brown RS Insurance Services LLC	399328	Reinsurance Intermediary Broker - Not Applicable	5/19/2011