DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

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	Health	4/26/2017		3/31/2027
Active	Non Resident	Agent	Property	4/26/2017		3/31/2027
Active	Non Resident	Agent	Casualty	4/26/2017		3/31/2027
Active	Non Resident	Agent	Life	4/26/2017		3/31/2027
Active	Non Resident	Surplus Lines Broker	Not Applicable	4/20/2017		3/31/2027
* 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	01/15/2027	03/31/2027
Surplus Lines Broker	01/15/2027	03/31/2027

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	Berkley Casualty Company	300731	Agent - Casualty	7/10/2026
Active	Berkley Casualty Company	300731	Agent - Property	7/10/2026
Active	Carolina Casualty Insurance Company	300271	Agent - Casualty	7/10/2026
Active	Carolina Casualty Insurance Company	300271	Agent - Property	7/10/2026
Active	Key Risk Insurance Company	630687	Agent - Casualty	7/10/2026
Active	Key Risk Insurance Company	630687	Agent - Property	7/10/2026
Active	Midwest Employers Casualty Company	300124	Agent - Casualty	7/10/2026
Active	Midwest Employers Casualty Company	300124	Agent - Property	7/10/2026
Inactive	NGM Insurance Company	583837	Agent - Casualty	5/25/2023	11/25/2025
Inactive	NGM Insurance Company	583837	Agent - Property	5/25/2023	11/25/2025
Active	Preferred Employers Insurance Company	1021122	Agent - Casualty	7/10/2026
Active	StarNet Insurance Company	502746	Agent - Casualty	7/10/2026
Active	StarNet Insurance Company	502746	Agent - Property	7/10/2026

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Family Brokerage Inc	803993	Surplus Lines Broker - Not Applicable	12/11/2017	11/4/2025
Denied	American Family Brokerage Inc	803993	Agent - Life
Denied	American Family Brokerage Inc	803993	Agent - Health
Inactive	American Family Brokerage Inc	803993	Agent - Property	3/1/2023	11/4/2025
Inactive	American Family Brokerage Inc	803993	Agent - Casualty	3/1/2023	11/4/2025