DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Bennett, Brooke Michelle	DOIID	886521	NAIC NPN	16805396

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	8/12/2024		5/31/2027
Inactive	Non Resident	Agent	Casualty	8/12/2015	8/5/2016
Inactive	Non Resident	Agent	Property	8/12/2015	8/5/2016
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	8/12/2015	8/5/2016
* 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	Colonial Penn Life Insurance Company	300491	Agent - Life	8/15/2024	8/19/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	CBIZ Ins Services Inc	515291	Agent - Property
Denied	CBIZ Ins Services Inc	515291	Agent - Casualty