DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Brenner, Jason	DOIID	776354	NAIC NPN	16555425

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	10/30/2020		10/31/2024
Active	Non Resident	Agent	Casualty	10/30/2020		10/31/2024
Inactive	Non Resident	Staff Adjuster	Property & Casualty	3/5/2012	10/31/2018
* 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	08/15/2024	10/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Bristol West Insurance Company	301655	Agent - Casualty	12/28/2022
Active	Bristol West Insurance Company	301655	Agent - Property	12/28/2022
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	11/11/2020
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	11/11/2020
Active	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	11/11/2020
Active	Foremost Property and Casualty Insurance Company	300871	Agent - Property	11/11/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Fx Insurance Agency, LLC	646184	Agent - Casualty	11/16/2020
Active	Fx Insurance Agency, LLC	646184	Agent - Property	11/16/2020