DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Prism Insurance Holdings, Inc	DOIID	792966	NAIC NPN	16795131

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Casualty	9/28/2012	3/31/2020
Inactive	Resident	Agent	Life	9/28/2012	3/31/2020
Inactive	Resident	Agent	Property	9/28/2012	3/31/2020
Inactive	Resident	Agent	Health	9/28/2012	3/31/2020
* 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	ClearPath Insurance Company	979815	Agent - Casualty	1/1/2018	2/7/2019

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Taylor, Brian Ken	370803	Agent - Casualty	9/28/2012	4/9/2020
Inactive	Taylor, Brian Ken	370803	Agent - Health	9/28/2012	4/9/2020
Inactive	Taylor, Brian Ken	370803	Agent - Life	9/28/2012	4/9/2020
Inactive	Taylor, Brian Ken	370803	Agent - Property	9/28/2012	4/9/2020