DEPARTMENT OF INSURANCE

Affiliations

Name	Staley Jr, Frank R	DOIID	921210	NAIC NPN	18019030

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Property	8/21/2018	7/31/2026
Active	Resident	Agent	Casualty	8/17/2018	7/31/2026
Active	Resident	Agent	Life	8/1/2016	7/31/2026
* 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	05/15/2024	07/31/2024	05/22/2024	05/22/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American General Life Insurance Company	301585	Agent - Life	8/3/2018	12/23/2019
Active	Encompass Indemnity Company	546376	Agent - Casualty	10/29/2018
Active	Encompass Indemnity Company	546376	Agent - Property	10/29/2018
Inactive	Erie Family Life Insurance Company	301400	Agent - Life	10/11/2018	3/27/2019
Inactive	Erie Insurance Company	300230	Agent - Casualty	10/11/2018	3/27/2019
Inactive	Erie Insurance Company	300230	Agent - Property	10/11/2018	3/27/2019
Inactive	Erie Insurance Exchange	300789	Agent - Casualty	10/11/2018	3/27/2019
Inactive	Erie Insurance Exchange	300789	Agent - Property	10/11/2018	3/27/2019
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	10/8/2018	3/29/2019
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	10/8/2018	3/29/2019
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	10/18/2018	4/1/2019
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	10/18/2018	4/1/2019
Inactive	Grange Insurance Company	300234	Agent - Casualty	10/18/2018	4/1/2019
Inactive	Grange Insurance Company	300234	Agent - Property	10/18/2018	4/1/2019
Inactive	Grange Life Insurance Company	300128	Agent - Life	10/18/2018	4/1/2019
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	10/18/2018	4/1/2019
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	10/18/2018	4/1/2019
Active	Kentucky National Insurance Company	301625	Agent - Casualty	10/5/2018
Active	Kentucky National Insurance Company	301625	Agent - Property	10/5/2018
Inactive	Life Insurance Company of the Southwest	301867	Agent - Life	8/11/2016	1/30/2020
Inactive	Motorists Mutual Insurance Company	300963	Agent - Casualty	10/17/2018	6/10/2020
Inactive	Motorists Mutual Insurance Company	300963	Agent - Property	10/17/2018	6/10/2020
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	10/18/2018	4/1/2019
Inactive	Trustgard Insurance Company	300104	Agent - Property	10/18/2018	4/1/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bray & Oakley Ins Agy Inc	742235	Agent - Life	9/18/2018	3/21/2019
Inactive	Bray & Oakley Ins Agy Inc	742235	Agent - Casualty	10/5/2018	3/21/2019
Inactive	Bray & Oakley Ins Agy Inc	742235	Agent - Property	10/5/2018	3/21/2019