DEPARTMENT OF INSURANCE
Affiliations
NameAmerican Family Brokerage IncDOIID803993NAIC NPN662862
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife2/19/2013 3/31/2027
ActiveNon ResidentAgentProperty2/19/2013 3/31/2027
ActiveNon ResidentAgentHealth2/19/2013 3/31/2027
ActiveNon ResidentAgentCasualty2/19/2013 3/31/2027
WithdrawnNon ResidentAgentPersonal Lines   
ActiveNon ResidentSurplus Lines BrokerNot Applicable11/17/2016 3/31/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202703/31/2027   
Surplus Lines Broker01/15/202703/31/2027   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveACE American Insurance Company300625Agent - Casualty7/10/2014 
ActiveACE American Insurance Company300625Agent - Property7/10/2014 
ActiveACE Fire Underwriters Insurance Company301679Agent - Casualty7/9/2015 
ActiveACE Fire Underwriters Insurance Company301679Agent - Property7/9/2015 
ActiveACE Property and Casualty Insurance Company300520Agent - Casualty7/10/2014 
ActiveACE Property and Casualty Insurance Company300520Agent - Property7/10/2014 
ActiveACUITY, A Mutual Insurance Company300095Agent - Casualty4/30/2024 
ActiveACUITY, A Mutual Insurance Company300095Agent - Property4/30/2024 
ActiveAIG Property Casualty Company300621Agent - Casualty9/16/2016 
ActiveAIG Property Casualty Company300621Agent - Property9/16/2016 
InactiveAccendo Insurance Company300312Agent - Life6/10/202012/19/2025
InactiveAetna Health and Life Insurance Company300523Agent - Health9/22/201812/19/2025
ActiveAmTrust Insurance Company300179Agent - Casualty11/7/2024 
ActiveAmTrust Insurance Company300179Agent - Property11/7/2024 
ActiveAmerican Alternative Insurance Corporation301697Agent - Casualty12/17/2024 
ActiveAmerican Alternative Insurance Corporation301697Agent - Property12/17/2024 
InactiveAmerican Continental Insurance Company643130Agent - Life9/22/20188/11/2021
ActiveAmerican Family Connect Property and Casualty Insurance Company622403Agent - Casualty2/10/2023 
ActiveAmerican Family Connect Property and Casualty Insurance Company622403Agent - Property2/10/2023 
ActiveAmerican Family Home Insurance Company301817Agent - Casualty12/17/2024 
ActiveAmerican Family Home Insurance Company301817Agent - Property12/17/2024 
InactiveAmerican Fire and Casualty Company300567Agent - Casualty2/18/20223/29/2024
InactiveAmerican Fire and Casualty Company300567Agent - Property2/18/20223/29/2024
InactiveAmerican Interstate Insurance Company301092Agent - Casualty9/9/20244/14/2025
InactiveAmerican Interstate Insurance Company301092Agent - Property9/9/20244/14/2025
ActiveAmerican Modern Home Insurance Company300791Agent - Casualty8/12/2015 
ActiveAmerican Modern Home Insurance Company300791Agent - Property8/12/2015 
ActiveAmerican Modern Property and Casualty Insurance Company301954Agent - Casualty8/13/2018 
ActiveAmerican Modern Property and Casualty Insurance Company301954Agent - Property8/13/2018 
InactiveAmerican National Insurance Company301861Agent - Health1/30/20175/4/2021
ActiveAmerican National Insurance Company301861Agent - Life1/30/2017 
ActiveAmerican Southern Home Insurance Company626276Agent - Casualty12/17/2024 
ActiveAmerican Southern Home Insurance Company626276Agent - Property12/17/2024 
ActiveAmerican Zurich Insurance Company300592Agent - Casualty7/19/2024 
ActiveAmerican Zurich Insurance Company300592Agent - Property7/19/2024 
ActiveBankers Standard Insurance Company301620Agent - Casualty5/8/2015 
ActiveBankers Standard Insurance Company301620Agent - Property5/8/2015 
ActiveBanner Life Insurance Company301696Agent - Life9/16/2013 
InactiveCapitol Indemnity Corporation301030Agent - Casualty1/8/20144/29/2025
InactiveCapitol Indemnity Corporation301030Agent - Health1/8/20148/22/2024
InactiveCapitol Indemnity Corporation301030Agent - Property1/8/20148/22/2024
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Casualty2/9/201611/30/2017
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Property2/9/201611/30/2017
InactiveConsolidated Insurance Company300943Agent - Casualty6/23/20162/14/2022
InactiveConsolidated Insurance Company300943Agent - Property6/23/20162/14/2022
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health9/22/201812/19/2025
ActiveContractors Bonding and Insurance Company300184Agent - Casualty2/9/2024 
ActiveContractors Bonding and Insurance Company300184Agent - Property2/9/2024 
InactiveEmployers Assurance Company300120Agent - Casualty7/30/201412/23/2025
ActiveEmployers Compensation Insurance Company797885Agent - Casualty8/6/2018 
InactiveEmployers Preferred Insurance Company520656Agent - Casualty7/30/201412/23/2025
InactiveFarmers Casualty Insurance Company301616Agent - Casualty10/2/201511/30/2017
InactiveFarmers Casualty Insurance Company301616Agent - Property10/2/201511/30/2017
InactiveFarmers Property and Casualty Insurance Company301237Agent - Casualty10/2/201511/14/2019
InactiveFarmers Property and Casualty Insurance Company301237Agent - Property10/2/201511/14/2019
ActiveFarmington Casualty Company301137Agent - Casualty6/8/2026 
ActiveFarmington Casualty Company301137Agent - Property6/8/2026 
ActiveFederal Insurance Company301144Agent - Casualty6/20/2014 
ActiveFederal Insurance Company301144Agent - Property6/20/2014 
ActiveFidelity and Guaranty Insurance Company301009Agent - Casualty3/7/2025 
ActiveFidelity and Guaranty Insurance Company301009Agent - Property3/7/2025 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty3/6/2014 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property3/6/2014 
ActiveGreat American Insurance Company301586Agent - Casualty4/15/2021 
ActiveGreat American Insurance Company301586Agent - Property4/15/2021 
ActiveGreat American Insurance Company of New York301897Agent - Casualty1/15/2015 
ActiveGreat American Insurance Company of New York301897Agent - Property1/15/2015 
ActiveHomesite Insurance Company301139Agent - Casualty2/20/2023 
ActiveHomesite Insurance Company301139Agent - Property2/20/2023 
ActiveHomesite Insurance Company of the Midwest874850Agent - Casualty2/20/2023 
ActiveHomesite Insurance Company of the Midwest874850Agent - Property2/20/2023 
ActiveIndemnity Insurance Company of North America301760Agent - Casualty5/8/2015 
ActiveIndemnity Insurance Company of North America301760Agent - Property5/8/2015 
InactiveIndiana Insurance Company301909Agent - Casualty6/23/20162/14/2022
InactiveIndiana Insurance Company301909Agent - Property6/23/20162/14/2022
ActiveJewelers Mutual Insurance Company, SI301935Agent - Casualty8/7/2024 
ActiveJewelers Mutual Insurance Company, SI301935Agent - Property8/7/2024 
ActiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health8/27/2013 
ActiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life8/27/2013 
ActiveMarkel American Insurance Company300377Agent - Casualty5/8/2014 
ActiveMarkel American Insurance Company300377Agent - Property5/8/2014 
ActiveMarkel Insurance Company301475Agent - Casualty3/21/2014 
ActiveMarkel Insurance Company301475Agent - Health3/21/2014 
ActiveMarkel Insurance Company301475Agent - Property3/21/2014 
ActiveMilford Casualty Insurance Company301460Agent - Casualty11/7/2024 
ActiveMilford Casualty Insurance Company301460Agent - Property11/7/2024 
ActiveMount Vernon Fire Insurance Company301397Agent - Casualty4/14/2014 
ActiveMount Vernon Fire Insurance Company301397Agent - Property4/14/2014 
ActiveNGM Insurance Company583837Agent - Casualty5/25/2023 
ActiveNGM Insurance Company583837Agent - Property5/25/2023 
ActiveNational Specialty Insurance Company300993Agent - Casualty5/16/2025 
ActiveNational Specialty Insurance Company300993Agent - Property5/16/2025 
InactiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - Casualty2/19/20151/31/2026
InactiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - Health2/19/20151/31/2026
InactiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - Property2/19/20151/31/2026
InactiveNetherlands Insurance Company (The)300339Agent - Casualty6/23/20162/14/2022
InactiveNetherlands Insurance Company (The)300339Agent - Property6/23/20162/14/2022
ActiveNext Insurance US Company1083825Agent - Casualty5/16/2025 
ActiveNext Insurance US Company1083825Agent - Property5/16/2025 
ActiveOhio Casualty Insurance Company301492Agent - Casualty2/18/2022 
ActiveOhio Casualty Insurance Company301492Agent - Property6/23/2016 
ActiveOhio Security Insurance Company300622Agent - Casualty2/10/2026 
ActiveOhio Security Insurance Company300622Agent - Property2/10/2026 
ActivePacific Employers Insurance Company301753Agent - Casualty5/8/2015 
ActivePacific Employers Insurance Company301753Agent - Property5/8/2015 
InactivePeerless Indemnity Insurance Company571682Agent - Casualty6/23/20162/14/2022
InactivePeerless Indemnity Insurance Company571682Agent - Property6/23/20162/14/2022
InactivePeerless Insurance Company301910Agent - Casualty6/23/20162/14/2022
InactivePeerless Insurance Company301910Agent - Property6/23/20162/14/2022
ActivePhiladelphia Indemnity Insurance Company301221Agent - Casualty4/23/2026 
ActivePhiladelphia Indemnity Insurance Company301221Agent - Property4/23/2026 
ActiveProgressive Casualty Insurance Company300696Agent - Casualty7/8/2013 
ActiveProgressive Casualty Insurance Company300696Agent - Property7/8/2013 
ActiveSecurity National Insurance Company301151Agent - Casualty11/7/2024 
ActiveSecurity National Insurance Company301151Agent - Property11/7/2024 
ActiveSequoia Insurance Company628046Agent - Casualty11/7/2024 
ActiveSequoia Insurance Company628046Agent - Property11/7/2024 
InactiveSt. Paul Fire and Marine Insurance Company300782Agent - Casualty5/3/201812/9/2019
InactiveSt. Paul Fire and Marine Insurance Company300782Agent - Property5/3/201812/9/2019
InactiveSt. Paul Guardian Insurance Company301372Agent - Casualty5/3/201812/9/2019
InactiveSt. Paul Guardian Insurance Company301372Agent - Property5/3/201812/9/2019
InactiveSt. Paul Mercury Insurance Company300783Agent - Casualty5/3/201812/9/2019
InactiveSt. Paul Mercury Insurance Company300783Agent - Property5/3/201812/9/2019
ActiveStandard Fire Insurance Company (The)301068Agent - Casualty1/4/2022 
ActiveStandard Fire Insurance Company (The)301068Agent - Property1/4/2022 
ActiveState National Insurance Company, Inc.300888Agent - Casualty5/16/2025 
ActiveState National Insurance Company, Inc.300888Agent - Property5/16/2025 
ActiveTechnology Insurance Company613278Agent - Casualty11/7/2024 
ActiveTechnology Insurance Company613278Agent - Property11/7/2024 
ActiveThe Phoenix Insurance Company301502Agent - Casualty6/23/2026 
ActiveThe Phoenix Insurance Company301502Agent - Property6/23/2026 
InactiveTravelers Casualty Insurance Company of America300522Agent - Casualty2/9/201611/30/2017
InactiveTravelers Casualty Insurance Company of America300522Agent - Property2/9/201611/30/2017
InactiveTravelers Casualty and Surety Company301067Agent - Casualty2/9/201611/30/2017
InactiveTravelers Casualty and Surety Company301067Agent - Property2/9/201611/30/2017
InactiveTravelers Casualty and Surety Company of America301334Agent - Casualty5/3/201811/12/2025
InactiveTravelers Casualty and Surety Company of America301334Agent - Property5/3/201811/12/2025
InactiveTravelers Indemnity Company (The)301855Agent - Casualty2/9/201611/30/2017
InactiveTravelers Indemnity Company (The)301855Agent - Property2/9/201611/30/2017
ActiveTravelers Indemnity Company of America (The)301093Agent - Casualty2/26/2026 
ActiveTravelers Indemnity Company of America (The)301093Agent - Property2/26/2026 
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - Casualty2/9/201611/30/2017
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - Property2/9/201611/30/2017
ActiveTravelers Personal Insurance Company705785Agent - Casualty1/4/2022 
ActiveTravelers Personal Insurance Company705785Agent - Property1/4/2022 
InactiveTravelers Property Casualty Company of America301649Agent - Casualty2/9/201611/30/2017
InactiveTravelers Property Casualty Company of America301649Agent - Property2/9/201611/30/2017
InactiveTrusted Resource Underwriters Exchange of Ohio581481Agent - Casualty3/10/201411/14/2021
InactiveTrusted Resource Underwriters Exchange of Ohio581481Agent - Property3/10/201411/14/2021
ActiveUnited Financial Casualty Company301886Agent - Casualty7/8/2013 
ActiveUnited Financial Casualty Company301886Agent - Property7/8/2013 
ActiveWesco Insurance Company300534Agent - Casualty11/7/2024 
ActiveWesco Insurance Company300534Agent - Property11/7/2024 
InactiveWest American Insurance Company301112Agent - Casualty2/18/20223/29/2024
InactiveWest American Insurance Company301112Agent - Property2/18/20223/29/2024
ActiveWestchester Fire Insurance Company300990Agent - Casualty7/10/2014 
ActiveWestchester Fire Insurance Company300990Agent - Property7/10/2014 
ActiveWestern Surety Company300283Agent - Casualty3/6/2013 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBrandt, Jason D 951699Agent - Casualty3/1/202311/4/2025
DeniedBrandt, Jason D 951699Agent - Health  
DeniedBrandt, Jason D 951699Agent - Life  
InactiveBrandt, Jason D 951699Agent - Property3/1/202311/4/2025
InactiveBrandt, Jason D 951699Surplus Lines Broker - Not Applicable12/11/201711/4/2025
DeniedFackrell, Regan Riley 1013160Agent - Casualty  
DeniedFackrell, Regan Riley 1013160Agent - Health  
DeniedFackrell, Regan Riley 1013160Agent - Life  
DeniedFackrell, Regan Riley 1013160Agent - Property  
InactiveFackrell, Regan Riley 1013160Surplus Lines Broker - Not Applicable8/6/20198/18/2021
InactiveGisi, Gregory V 783942Agent - Casualty2/19/201310/17/2022
InactiveGisi, Gregory V 783942Agent - Health2/19/201310/17/2022
InactiveGisi, Gregory V 783942Agent - Life2/19/201310/17/2022
InactiveGisi, Gregory V 783942Agent - Property2/19/201310/17/2022
InactiveKaspszak, Penny M 783934Agent - Casualty2/19/20136/5/2013
InactiveKaspszak, Penny M 783934Agent - Health2/19/201311/1/2013
InactiveKaspszak, Penny M 783934Agent - Life2/19/201311/1/2013
InactiveKaspszak, Penny M 783934Agent - Property2/19/201311/1/2013
DeniedLandolt, Kenneth A 1031186Agent - Casualty  
DeniedLandolt, Kenneth A 1031186Agent - Health  
DeniedLandolt, Kenneth A 1031186Agent - Life  
DeniedLandolt, Kenneth A 1031186Agent - Property  
InactiveLandolt, Kenneth A 1031186Surplus Lines Broker - Not Applicable8/6/201910/19/2023
ActiveOsborne, Jessica E 941918Agent - Casualty5/17/2026 
PendingOsborne, Jessica E 941918Agent - Health  
PendingOsborne, Jessica E 941918Agent - Life  
ActiveOsborne, Jessica E 941918Agent - Property5/17/2026 
ActiveOsborne, Jessica E 941918Surplus Lines Broker - Not Applicable4/20/2026 
ActivePost, Todd Aaron 365533Agent - Casualty4/4/2014 
ActivePost, Todd Aaron 365533Agent - Health4/4/2014 
ActivePost, Todd Aaron 365533Agent - Life10/17/2022 
ActivePost, Todd Aaron 365533Agent - Property4/4/2014 
ActivePost, Todd Aaron 365533Surplus Lines Broker - Not Applicable11/17/2016 
ActiveVick, Jeffrey R 729343Agent - Casualty4/20/2026 
ActiveVick, Jeffrey R 729343Agent - Property4/20/2026 
ActiveVick, Jeffrey R 729343Surplus Lines Broker - Not Applicable4/20/2026 

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