DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Brizzell, Natasha Marie	DOIID	975891	NAIC NPN	17471963

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	4/15/2022		11/30/2024
Active	Non Resident	Agent	Casualty	4/15/2022		11/30/2024
Active	Non Resident	Agent	Property	4/15/2022		11/30/2024
Active	Non Resident	Agent	Health	4/15/2022		11/30/2024
* 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	09/15/2024	11/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Auto Club Indemnity Company	1013914	Agent - Casualty	5/27/2022
Active	Auto Club Indemnity Company	1013914	Agent - Property	5/27/2022
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Casualty	1/2/2018	1/14/2022
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Property	1/2/2018	1/14/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aaa East Central Insurance Agency Inc	861400	Agent - Casualty	5/27/2022
Active	Aaa East Central Insurance Agency Inc	861400	Agent - Property	5/27/2022