DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Ellis, Brenda Kay	DOIID	880948	NAIC NPN	6743919

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	6/19/2015	2/16/2022
Inactive	Non Resident	Agent	Casualty	6/19/2015	2/16/2022
* 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	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	4/8/2016	2/16/2022
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	4/8/2016	2/16/2022
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	3/29/2021	2/16/2022
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	3/29/2021	2/16/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Leavitt Group Agency Assn LLC	696306	Agent - Property	4/8/2016	1/26/2022
Inactive	Leavitt Group Agency Assn LLC	696306	Agent - Casualty	4/8/2016	1/26/2022