DEPARTMENT OF INSURANCE

Affiliations

Name	American Family Brokerage Inc	DOIID	803993	NAIC NPN	662862

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	2/19/2013	3/31/2025
Active	Non Resident	Agent	Health	2/19/2013	3/31/2025
Active	Non Resident	Agent	Casualty	2/19/2013	3/31/2025
Active	Non Resident	Agent	Life	2/19/2013	3/31/2025
Withdrawn	Non Resident	Agent	Personal Lines
Active	Non Resident	Surplus Lines Broker	Not Applicable	11/17/2016	3/31/2025
* 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	01/15/2025	03/31/2025
Surplus Lines Broker	01/15/2025	03/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACE American Insurance Company	300625	Agent - Casualty	7/10/2014
Active	ACE American Insurance Company	300625	Agent - Property	7/10/2014
Active	ACE Fire Underwriters Insurance Company	301679	Agent - Casualty	7/9/2015
Active	ACE Fire Underwriters Insurance Company	301679	Agent - Property	7/9/2015
Active	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	7/10/2014
Active	ACE Property and Casualty Insurance Company	300520	Agent - Property	7/10/2014
Active	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	4/30/2024
Active	ACUITY, A Mutual Insurance Company	300095	Agent - Property	4/30/2024
Active	AIG Property Casualty Company	300621	Agent - Casualty	9/16/2016
Active	AIG Property Casualty Company	300621	Agent - Property	9/16/2016
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	9/22/2018
Inactive	American Continental Insurance Company	643130	Agent - Life	9/22/2018	8/11/2021
Active	American Family Connect Property and Casualty Insurance Company	622403	Agent - Casualty	2/10/2023
Active	American Family Connect Property and Casualty Insurance Company	622403	Agent - Property	2/10/2023
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	2/18/2022	3/29/2024
Inactive	American Fire and Casualty Company	300567	Agent - Property	2/18/2022	3/29/2024
Active	American Modern Home Insurance Company	300791	Agent - Casualty	8/12/2015
Active	American Modern Home Insurance Company	300791	Agent - Property	8/12/2015
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	8/13/2018
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	8/13/2018
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	3/10/2014	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	3/10/2014	11/14/2021
Inactive	American National Insurance Company	301861	Agent - Health	1/30/2017	5/4/2021
Active	American National Insurance Company	301861	Agent - Life	1/30/2017
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	8/11/2014	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	8/11/2014	11/14/2021
Active	Bankers Standard Insurance Company	301620	Agent - Casualty	5/8/2015
Active	Bankers Standard Insurance Company	301620	Agent - Property	5/8/2015
Active	Banner Life Insurance Company	301696	Agent - Life	9/16/2013
Active	Capitol Indemnity Corporation	301030	Agent - Casualty	1/8/2014
Active	Capitol Indemnity Corporation	301030	Agent - Health	1/8/2014
Active	Capitol Indemnity Corporation	301030	Agent - Property	1/8/2014
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	2/9/2016	11/30/2017
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	2/9/2016	11/30/2017
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	6/23/2016	2/14/2022
Inactive	Consolidated Insurance Company	300943	Agent - Property	6/23/2016	2/14/2022
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	9/22/2018
Active	Contractors Bonding and Insurance Company	300184	Agent - Casualty	2/9/2024
Active	Contractors Bonding and Insurance Company	300184	Agent - Property	2/9/2024
Active	Employers Assurance Company	300120	Agent - Casualty	7/30/2014
Active	Employers Compensation Insurance Company	797885	Agent - Casualty	8/6/2018
Active	Employers Preferred Insurance Company	520656	Agent - Casualty	7/30/2014
Inactive	Farmers Casualty Insurance Company	301616	Agent - Casualty	10/2/2015	11/30/2017
Inactive	Farmers Casualty Insurance Company	301616	Agent - Property	10/2/2015	11/30/2017
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	10/2/2015	11/14/2019
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	10/2/2015	11/14/2019
Inactive	Farmington Casualty Company	301137	Agent - Casualty	2/9/2016	11/30/2017
Inactive	Farmington Casualty Company	301137	Agent - Property	2/9/2016	11/30/2017
Active	Federal Insurance Company	301144	Agent - Casualty	6/20/2014
Active	Federal Insurance Company	301144	Agent - Property	6/20/2014
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	3/6/2014
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	3/6/2014
Active	Great American Insurance Company	301586	Agent - Casualty	4/15/2021
Active	Great American Insurance Company	301586	Agent - Property	4/15/2021
Active	Great American Insurance Company of New York	301897	Agent - Casualty	1/15/2015
Active	Great American Insurance Company of New York	301897	Agent - Property	1/15/2015
Active	Homesite Insurance Company	301139	Agent - Casualty	2/20/2023
Active	Homesite Insurance Company	301139	Agent - Property	2/20/2023
Active	Homesite Insurance Company of the Midwest	874850	Agent - Casualty	2/20/2023
Active	Homesite Insurance Company of the Midwest	874850	Agent - Property	2/20/2023
Active	Indemnity Insurance Company of North America	301760	Agent - Casualty	5/8/2015
Active	Indemnity Insurance Company of North America	301760	Agent - Property	5/8/2015
Inactive	Indiana Insurance Company	301909	Agent - Casualty	6/23/2016	2/14/2022
Inactive	Indiana Insurance Company	301909	Agent - Property	6/23/2016	2/14/2022
Active	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	8/27/2013
Active	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	8/27/2013
Active	Markel American Insurance Company	300377	Agent - Casualty	5/8/2014
Active	Markel American Insurance Company	300377	Agent - Property	5/8/2014
Active	Markel Insurance Company	301475	Agent - Casualty	3/21/2014
Active	Markel Insurance Company	301475	Agent - Health	3/21/2014
Active	Markel Insurance Company	301475	Agent - Property	3/21/2014
Active	Mount Vernon Fire Insurance Company	301397	Agent - Casualty	4/14/2014
Active	Mount Vernon Fire Insurance Company	301397	Agent - Property	4/14/2014
Active	NGM Insurance Company	583837	Agent - Casualty	5/25/2023
Active	NGM Insurance Company	583837	Agent - Property	5/25/2023
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	2/19/2015
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	2/19/2015
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	2/19/2015
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	6/23/2016	2/14/2022
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	6/23/2016	2/14/2022
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	2/18/2022
Active	Ohio Casualty Insurance Company	301492	Agent - Property	6/23/2016
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	2/18/2022	3/29/2024
Inactive	Ohio Security Insurance Company	300622	Agent - Property	2/18/2022	3/29/2024
Active	Pacific Employers Insurance Company	301753	Agent - Casualty	5/8/2015
Active	Pacific Employers Insurance Company	301753	Agent - Property	5/8/2015
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	6/23/2016	2/14/2022
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	6/23/2016	2/14/2022
Inactive	Peerless Insurance Company	301910	Agent - Casualty	6/23/2016	2/14/2022
Inactive	Peerless Insurance Company	301910	Agent - Property	6/23/2016	2/14/2022
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	7/8/2013
Active	Progressive Casualty Insurance Company	300696	Agent - Property	7/8/2013
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	5/3/2018	12/9/2019
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	5/3/2018	12/9/2019
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Casualty	5/3/2018	12/9/2019
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Property	5/3/2018	12/9/2019
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Casualty	5/3/2018	12/9/2019
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Property	5/3/2018	12/9/2019
Active	Standard Fire Insurance Company (The)	301068	Agent - Casualty	1/4/2022
Active	Standard Fire Insurance Company (The)	301068	Agent - Property	1/4/2022
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	2/9/2016	11/30/2017
Inactive	The Phoenix Insurance Company	301502	Agent - Property	2/9/2016	11/30/2017
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	2/9/2016	11/30/2017
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Property	2/9/2016	11/30/2017
Inactive	Travelers Casualty and Surety Company	301067	Agent - Casualty	2/9/2016	11/30/2017
Inactive	Travelers Casualty and Surety Company	301067	Agent - Property	2/9/2016	11/30/2017
Active	Travelers Casualty and Surety Company of America	301334	Agent - Casualty	5/3/2018
Active	Travelers Casualty and Surety Company of America	301334	Agent - Property	5/3/2018
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	2/9/2016	11/30/2017
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	2/9/2016	11/30/2017
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	2/9/2016	11/30/2017
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	2/9/2016	11/30/2017
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	2/9/2016	11/30/2017
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	2/9/2016	11/30/2017
Active	Travelers Personal Insurance Company	705785	Agent - Casualty	1/4/2022
Active	Travelers Personal Insurance Company	705785	Agent - Property	1/4/2022
Inactive	Travelers Property Casualty Company of America	301649	Agent - Casualty	2/9/2016	11/30/2017
Inactive	Travelers Property Casualty Company of America	301649	Agent - Property	2/9/2016	11/30/2017
Active	United Financial Casualty Company	301886	Agent - Casualty	7/8/2013
Active	United Financial Casualty Company	301886	Agent - Property	7/8/2013
Inactive	West American Insurance Company	301112	Agent - Casualty	2/18/2022	3/29/2024
Inactive	West American Insurance Company	301112	Agent - Property	2/18/2022	3/29/2024
Active	Westchester Fire Insurance Company	300990	Agent - Casualty	7/10/2014
Active	Westchester Fire Insurance Company	300990	Agent - Property	7/10/2014
Active	Western Surety Company	300283	Agent - Casualty	3/6/2013

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Brandt, Jason D	951699	Agent - Casualty	3/1/2023
Denied	Brandt, Jason D	951699	Agent - Health
Denied	Brandt, Jason D	951699	Agent - Life
Active	Brandt, Jason D	951699	Agent - Property	3/1/2023
Active	Brandt, Jason D	951699	Surplus Lines Broker - Not Applicable	12/11/2017
Denied	Fackrell, Regan Riley	1013160	Agent - Casualty
Denied	Fackrell, Regan Riley	1013160	Agent - Health
Denied	Fackrell, Regan Riley	1013160	Agent - Life
Denied	Fackrell, Regan Riley	1013160	Agent - Property
Inactive	Fackrell, Regan Riley	1013160	Surplus Lines Broker - Not Applicable	8/6/2019	8/18/2021
Inactive	Gisi, Gregory V	783942	Agent - Casualty	2/19/2013	10/17/2022
Inactive	Gisi, Gregory V	783942	Agent - Health	2/19/2013	10/17/2022
Inactive	Gisi, Gregory V	783942	Agent - Life	2/19/2013	10/17/2022
Inactive	Gisi, Gregory V	783942	Agent - Property	2/19/2013	10/17/2022
Inactive	Kaspszak, Penny M	783934	Agent - Casualty	2/19/2013	6/5/2013
Inactive	Kaspszak, Penny M	783934	Agent - Health	2/19/2013	11/1/2013
Inactive	Kaspszak, Penny M	783934	Agent - Life	2/19/2013	11/1/2013
Inactive	Kaspszak, Penny M	783934	Agent - Property	2/19/2013	11/1/2013
Denied	Landolt, Kenneth A	1031186	Agent - Casualty
Denied	Landolt, Kenneth A	1031186	Agent - Health
Denied	Landolt, Kenneth A	1031186	Agent - Life
Denied	Landolt, Kenneth A	1031186	Agent - Property
Inactive	Landolt, Kenneth A	1031186	Surplus Lines Broker - Not Applicable	8/6/2019	10/19/2023
Active	Post, Todd Aaron	365533	Agent - Casualty	4/4/2014
Active	Post, Todd Aaron	365533	Agent - Health	4/4/2014
Active	Post, Todd Aaron	365533	Agent - Life	10/17/2022
Active	Post, Todd Aaron	365533	Agent - Property	4/4/2014
Active	Post, Todd Aaron	365533	Surplus Lines Broker - Not Applicable	11/17/2016