DEPARTMENT OF INSURANCE

Affiliations

Name	Brown, Chase Michael	DOIID	915243	NAIC NPN	17937954

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Life	5/31/2016	7/31/2026
Active	Resident	Agent	Casualty	5/24/2016	7/31/2026
Active	Resident	Agent	Health	5/31/2016	7/31/2026
Active	Resident	Agent	Property	5/25/2016	7/31/2026
* 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
Active	American Modern Home Insurance Company	300791	Agent - Casualty	1/26/2023
Active	American Modern Home Insurance Company	300791	Agent - Property	1/26/2023
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	1/13/2022
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	1/13/2022
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	8/30/2016	11/2/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	8/30/2016	11/2/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	9/16/2016	11/2/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	9/16/2016	11/2/2021
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/31/2025
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	1/18/2022	12/20/2024
Inactive	Bristol West Insurance Company	301655	Agent - Property	1/18/2022	12/20/2024
Active	Dairyland Insurance Company	301370	Agent - Casualty	1/14/2022
Active	Dairyland Insurance Company	301370	Agent - Property	1/14/2022
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	1/18/2022	12/20/2023
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	1/18/2022	12/20/2023
Active	Illinois Mutual Life Insurance Company	301479	Agent - Health	2/21/2019
Active	Illinois Mutual Life Insurance Company	301479	Agent - Life	2/21/2019
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	6/8/2016
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Health	6/8/2016
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	6/8/2016
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	6/8/2016
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	6/8/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Chase Brown Insurance Llc	1143392	Agent - Life	7/6/2021
Active	Chase Brown Insurance Llc	1143392	Agent - Health	7/6/2021
Active	Chase Brown Insurance Llc	1143392	Agent - Casualty	7/6/2021
Active	Chase Brown Insurance Llc	1143392	Agent - Property	7/6/2021
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/9/2016	2/13/2025
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/9/2016	2/13/2025
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	6/8/2016
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	6/8/2016
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	6/8/2016
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	6/8/2016