DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Brandt, Jason D	DOIID	951699	NAIC NPN	15451754

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	4/26/2017		3/31/2025
Active	Non Resident	Agent	Casualty	4/26/2017		3/31/2025
Active	Non Resident	Agent	Health	4/26/2017		3/31/2025
Active	Non Resident	Agent	Life	4/26/2017		3/31/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	4/20/2017		3/31/2025
* 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	AIG Property Casualty Company	300621	Agent - Casualty	2/1/2018
Active	AIG Property Casualty Company	300621	Agent - Property	2/1/2018
Active	NGM Insurance Company	583837	Agent - Casualty	5/25/2023
Active	NGM Insurance Company	583837	Agent - Property	5/25/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Family Brokerage Inc	803993	Surplus Lines Broker - Not Applicable	12/11/2017
Denied	American Family Brokerage Inc	803993	Agent - Life
Denied	American Family Brokerage Inc	803993	Agent - Health
Active	American Family Brokerage Inc	803993	Agent - Property	3/1/2023
Active	American Family Brokerage Inc	803993	Agent - Casualty	3/1/2023