DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Avila, Juan Carlos	DOIID	882337	NAIC NPN	8062325

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	4/29/2019		11/30/2026
Active	Non Resident	Agent	Property	4/29/2019		11/30/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	5/15/2025		11/30/2026
* 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	09/15/2026	11/30/2026
Surplus Lines Broker	09/15/2026	11/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	1/24/2017	12/19/2018
Inactive	American Family Home Insurance Company	301817	Agent - Property	1/24/2017	12/19/2018
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	11/10/2020	9/24/2025
Inactive	American Modern Home Insurance Company	300791	Agent - Property	11/10/2020	9/24/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Brown & Brown Dealer Services, LLC	580592	Agent - Property	9/15/2023	9/24/2025
Pending	Brown & Brown Dealer Services, LLC	580592	Agent - Property
Inactive	Brown & Brown Dealer Services, LLC	580592	Agent - Casualty	9/15/2023	9/24/2025
Pending	Brown & Brown Dealer Services, LLC	580592	Agent - Casualty