DEPARTMENT OF INSURANCE

Affiliations

Name	Claiborne, Brook	DOIID	768406	NAIC NPN	16458255

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Denied	Resident	Agent	Health
Denied	Resident	Agent	Life
Inactive	Resident	Agent	Property	11/14/2016	9/1/2018
Inactive	Resident	Agent	Casualty	11/14/2016	9/1/2018
* 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	Aegis Security Insurance Company	300492	Agent - Casualty	5/13/2014	9/1/2016
Inactive	Aegis Security Insurance Company	300492	Agent - Property	5/13/2014	9/1/2016
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	12/31/2015	5/9/2016
Inactive	American Fire and Casualty Company	300567	Agent - Property	12/31/2015	5/9/2016
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	12/31/2015	5/9/2016
Inactive	Consolidated Insurance Company	300943	Agent - Property	12/31/2015	5/9/2016
Inactive	EMCASCO Insurance Company	842790	Agent - Casualty	2/12/2015	7/15/2016
Inactive	EMCASCO Insurance Company	842790	Agent - Property	2/12/2015	7/15/2016
Inactive	Employers Mutual Casualty Company	300202	Agent - Casualty	3/8/2013	7/15/2016
Inactive	Employers Mutual Casualty Company	300202	Agent - Property	3/8/2013	7/15/2016
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	3/21/2013	9/1/2016
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	3/21/2013	9/1/2016
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Casualty	3/8/2013	7/15/2016
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Property	3/8/2013	7/15/2016
Inactive	Indiana Insurance Company	301909	Agent - Casualty	12/31/2015	5/9/2016
Inactive	Indiana Insurance Company	301909	Agent - Property	12/31/2015	5/9/2016
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	12/31/2015	5/9/2016
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	12/31/2015	5/9/2016
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	12/31/2015	5/9/2016
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	12/31/2015	5/9/2016
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	12/31/2015	5/9/2016
Inactive	Ohio Security Insurance Company	300622	Agent - Property	12/31/2015	5/9/2016
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	12/31/2015	5/9/2016
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	12/31/2015	5/9/2016
Inactive	Peerless Insurance Company	301910	Agent - Casualty	12/31/2015	5/9/2016
Inactive	Peerless Insurance Company	301910	Agent - Property	12/31/2015	5/9/2016
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	12/31/2015	5/9/2016
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	12/31/2015	5/9/2016
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	12/31/2015	5/9/2016
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	12/31/2015	5/9/2016
Inactive	Union Insurance Company of Providence	842791	Agent - Casualty	2/12/2015	7/15/2016
Inactive	Union Insurance Company of Providence	842791	Agent - Property	2/12/2015	7/15/2016
Inactive	West American Insurance Company	301112	Agent - Casualty	12/31/2015	5/9/2016
Inactive	West American Insurance Company	301112	Agent - Property	12/31/2015	5/9/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	First Ins Group Property & Casualty Division Inc	633740	Agent - Casualty
Denied	First Ins Group Property & Casualty Division Inc	633740	Agent - Property
Inactive	Jarvis Ins Agency Inc.	400626	Agent - Casualty	2/27/2013	8/30/2016
Inactive	Jarvis Ins Agency Inc.	400626	Agent - Property	2/27/2013	8/30/2016