DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

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	Casualty	10/30/2020		10/31/2026
Active	Non Resident	Agent	Property	10/30/2020		10/31/2026
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.

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