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	Inactive Date
Inactive	Resident	Agent	Property	8/21/2018	8/1/2024
Inactive	Resident	Agent	Life	8/1/2016	8/1/2024
Inactive	Resident	Agent	Casualty	8/17/2018	8/1/2024
* 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	American General Life Insurance Company	301585	Agent - Life	8/3/2018	12/23/2019
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	10/29/2018	8/1/2024
Inactive	Encompass Indemnity Company	546376	Agent - Property	10/29/2018	8/1/2024
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
Inactive	Kentucky National Insurance Company	301625	Agent - Casualty	10/5/2018	8/1/2024
Inactive	Kentucky National Insurance Company	301625	Agent - Property	10/5/2018	8/1/2024
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