DEPARTMENT OF INSURANCE

Affiliations

Name	Briley, Jeremy	DOIID	791202	NAIC NPN	16782126

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Property	10/9/2012	12/1/2015
Inactive	Resident	Agent	Casualty	10/5/2012	12/1/2015
* 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	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	7/1/2013	7/22/2013
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	7/1/2013	7/22/2013
Inactive	Farmington Casualty Company	301137	Agent - Casualty	7/1/2013	7/22/2013
Inactive	Farmington Casualty Company	301137	Agent - Property	7/1/2013	7/22/2013
Inactive	Kentucky Hospital Insurance Company RRG	573734	Agent - Casualty	10/15/2012	11/20/2013
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	7/1/2013	7/15/2013
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	7/1/2013	7/15/2013
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Casualty	7/1/2013	7/15/2013
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Property	7/1/2013	7/15/2013
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Casualty	7/1/2013	7/15/2013
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Property	7/1/2013	7/15/2013
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	7/1/2013	7/15/2013
Inactive	The Phoenix Insurance Company	301502	Agent - Property	7/1/2013	7/15/2013
Inactive	Travelers Casualty and Surety Company	301067	Agent - Casualty	7/1/2013	7/15/2013
Inactive	Travelers Casualty and Surety Company	301067	Agent - Property	7/1/2013	7/15/2013
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - Casualty	7/1/2013	7/15/2013
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - Property	7/1/2013	7/15/2013
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	7/1/2013	7/15/2013
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	7/1/2013	7/15/2013
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	7/1/2013	7/15/2013
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	7/1/2013	7/15/2013
Inactive	Travelers Property Casualty Company of America	301649	Agent - Casualty	7/1/2013	7/22/2013
Inactive	Travelers Property Casualty Company of America	301649	Agent - Property	7/1/2013	7/22/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Kentucky Hospital Service Company of Kentucky, LLC	401254	Agent - Casualty	10/15/2012	11/20/2013
Denied	Kentucky Hospital Service Company of Kentucky, LLC	401254	Agent - Property