DEPARTMENT OF INSURANCE

Affiliations

Name	Terry, Bradley Scott	DOIID	903562	NAIC NPN	17824455

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	6/10/2019		5/31/2025
Active	Resident	Agent	Casualty	6/10/2019		5/31/2025
Active	Resident	Agent	Property	6/10/2019		5/31/2025
Inactive	Resident	Agent	Health	2/4/2016	6/1/2019
Withdrawn	Resident	Life & Health Consultant	Not Applicable
* 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	03/15/2025	05/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	3/31/2021
Active	ACUITY, A Mutual Insurance Company	300095	Agent - Property	3/31/2021
Inactive	Aegis Security Insurance Company	300492	Agent - Casualty	9/18/2019	10/31/2022
Inactive	Aegis Security Insurance Company	300492	Agent - Property	9/18/2019	10/31/2022
Inactive	All America Insurance Company	300078	Agent - Casualty	2/22/2019	6/1/2019
Inactive	All America Insurance Company	300078	Agent - Property	2/22/2019	6/1/2019
Inactive	American Commerce Insurance Company	301665	Agent - Casualty	8/28/2017	3/31/2018
Inactive	American Commerce Insurance Company	301665	Agent - Property	8/28/2017	3/31/2018
Active	American Economy Insurance Company	300315	Agent - Casualty	11/28/2023
Active	American Economy Insurance Company	300315	Agent - Property	11/28/2023
Inactive	American General Life Insurance Company	301585	Agent - Health	1/22/2019	6/1/2019
Inactive	American General Life Insurance Company	301585	Agent - Life	1/22/2019	6/1/2019
Active	Ansur America Insurance Company	520667	Agent - Casualty	12/31/2019
Active	Ansur America Insurance Company	520667	Agent - Property	12/31/2019
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Casualty	4/24/2017	6/1/2019
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Property	4/24/2017	6/1/2019
Active	Banner Life Insurance Company	301696	Agent - Life	4/27/2020
Active	Bristol West Insurance Company	301655	Agent - Casualty	1/17/2020
Active	Bristol West Insurance Company	301655	Agent - Property	1/17/2020
Inactive	Central Insurance Company	300965	Agent - Casualty	2/22/2019	6/1/2019
Inactive	Central Insurance Company	300965	Agent - Property	2/22/2019	6/1/2019
Active	Cincinnati Life Insurance Company (The)	300601	Agent - Life	8/23/2022
Active	ClearPath Insurance Company	979815	Agent - Casualty	3/7/2024
Inactive	Country Mutual Insurance Company	301024	Agent - Casualty	4/12/2017	6/1/2019
Inactive	Country Mutual Insurance Company	301024	Agent - Property	4/12/2017	6/1/2019
Inactive	EMC National Life Company	300388	Agent - Health	4/11/2017	6/1/2019
Inactive	EMC National Life Company	300388	Agent - Life	4/11/2017	6/1/2019
Active	EMC Property & Casualty Company	955217	Agent - Casualty	11/23/2020
Active	EMC Property & Casualty Company	955217	Agent - Property	11/23/2020
Active	EMCASCO Insurance Company	842790	Agent - Casualty	11/23/2020
Active	EMCASCO Insurance Company	842790	Agent - Property	11/23/2020
Active	Employers Mutual Casualty Company	300202	Agent - Casualty	11/23/2020
Active	Employers Mutual Casualty Company	300202	Agent - Property	11/23/2020
Active	Erie Family Life Insurance Company	301400	Agent - Life	6/17/2019
Active	Erie Insurance Company	300230	Agent - Casualty	6/17/2019
Active	Erie Insurance Company	300230	Agent - Property	6/17/2019
Active	Erie Insurance Company of New York	789916	Agent - Casualty	6/17/2019
Active	Erie Insurance Company of New York	789916	Agent - Property	6/17/2019
Active	Erie Insurance Exchange	300789	Agent - Casualty	6/17/2019
Active	Erie Insurance Exchange	300789	Agent - Property	6/17/2019
Active	Erie Insurance Property & Casualty Company	789942	Agent - Casualty	6/17/2019
Active	Erie Insurance Property & Casualty Company	789942	Agent - Property	6/17/2019
Active	Flagship City Insurance Company	789965	Agent - Casualty	6/17/2019
Active	Flagship City Insurance Company	789965	Agent - Property	6/17/2019
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	11/26/2019
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	11/26/2019
Active	Frankenmuth Insurance Company	301481	Agent - Casualty	12/31/2019
Active	Frankenmuth Insurance Company	301481	Agent - Property	12/31/2019
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Casualty	4/14/2017	1/30/2018
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Property	4/14/2017	1/30/2018
Active	Insurance Company of the West	301520	Agent - Casualty	6/26/2020
Active	Insurance Company of the West	301520	Agent - Property	6/26/2020
Active	Meridian Security Insurance Company	300423	Agent - Casualty	1/26/2020
Active	Meridian Security Insurance Company	300423	Agent - Property	1/26/2020
Active	Milbank Insurance Company	925185	Agent - Casualty	8/12/2019
Active	Milbank Insurance Company	925185	Agent - Property	8/12/2019
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	1/3/2021
Active	Ohio Casualty Insurance Company	301492	Agent - Property	1/3/2021
Active	Ohio Security Insurance Company	300622	Agent - Casualty	10/9/2023
Active	Ohio Security Insurance Company	300622	Agent - Property	10/9/2023
Inactive	Protective Life Insurance Company	300638	Agent - Health	1/16/2019	6/1/2019
Inactive	Protective Life Insurance Company	300638	Agent - Life	1/16/2019	6/1/2019
Inactive	Selective Insurance Company of America	500018	Agent - Casualty	4/5/2017	6/1/2019
Inactive	Selective Insurance Company of America	500018	Agent - Property	4/5/2017	6/1/2019
Inactive	Selective Insurance Company of South Carolina	500012	Agent - Casualty	4/5/2017	6/1/2019
Inactive	Selective Insurance Company of South Carolina	500012	Agent - Property	4/5/2017	6/1/2019
Inactive	Selective Insurance Company of the Southeast	300381	Agent - Casualty	4/5/2017	6/1/2019
Inactive	Selective Insurance Company of the Southeast	300381	Agent - Property	4/5/2017	6/1/2019
Active	State Auto Property & Casualty Insurance Company	301953	Agent - Casualty	7/1/2020
Active	State Auto Property & Casualty Insurance Company	301953	Agent - Property	7/1/2020
Active	State Automobile Mutual Insurance Company	301824	Agent - Casualty	7/4/2019
Active	State Automobile Mutual Insurance Company	301824	Agent - Property	7/4/2019
Inactive	State Farm Fire and Casualty Company	301809	Agent - Casualty	2/12/2016	5/15/2017
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	2/12/2016	5/15/2017
Inactive	State Farm Life Insurance Company	301810	Agent - Life	2/12/2016	5/15/2017
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	2/12/2016	5/15/2017
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Health	2/12/2016	5/15/2017
Active	Union Insurance Company of Providence	842791	Agent - Casualty	11/23/2020
Active	Union Insurance Company of Providence	842791	Agent - Property	11/23/2020
Inactive	West Bend Insurance Company	672974	Agent - Casualty	9/19/2018	6/1/2019
Inactive	West Bend Insurance Company	672974	Agent - Property	9/19/2018	6/1/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Bluegrass Insurance Services LLC	687604	Agent - Casualty	6/18/2019
Active	Bluegrass Insurance Services LLC	687604	Agent - Property	6/18/2019
Inactive	Bluegrass Insurance Services LLC	687604	Agent - Health	4/3/2017	6/1/2019
Active	Bluegrass Insurance Services LLC	687604	Agent - Life	6/18/2019