DEPARTMENT OF INSURANCE

Affiliations

Name	Bruzek, Scott Allan	DOIID	980772	NAIC NPN	18663494

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Casualty	4/7/2020	12/31/2021
Inactive	Resident	Agent	Property	4/7/2020	12/31/2021
Inactive	Resident	Surplus Lines Broker	Not Applicable	11/15/2019	12/31/2021
* 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	1st Choice Advantage Insurance Company, Inc.	750782	Agent - Casualty	7/1/2021	12/31/2021
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	7/28/2020	1/10/2022
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	7/28/2020	1/10/2022
Inactive	Accident Fund General Insurance Company	626282	Agent - Casualty	6/25/2020	12/31/2021
Inactive	Accident Fund General Insurance Company	626282	Agent - Property	6/25/2020	7/26/2020
Inactive	Accident Fund Insurance Company of America	518734	Agent - Casualty	6/25/2020	12/31/2021
Inactive	Accident Fund Insurance Company of America	518734	Agent - Property	6/25/2020	7/26/2020
Inactive	Accident Fund National Insurance Company	626286	Agent - Casualty	6/25/2020	12/31/2021
Inactive	Accident Fund National Insurance Company	626286	Agent - Property	6/25/2020	7/26/2020
Inactive	Ansur America Insurance Company	520667	Agent - Casualty	8/14/2019	1/1/2020
Inactive	Ansur America Insurance Company	520667	Agent - Property	8/14/2019	1/1/2020
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	6/23/2021	12/31/2021
Inactive	Bristol West Insurance Company	301655	Agent - Property	6/23/2021	12/31/2021
Inactive	Cincinnati Casualty Company (The)	300308	Agent - Casualty	2/5/2021	12/31/2021
Inactive	Cincinnati Casualty Company (The)	300308	Agent - Property	2/5/2021	12/31/2021
Inactive	Cincinnati Indemnity Company (The)	301566	Agent - Casualty	2/5/2021	12/31/2021
Inactive	Cincinnati Indemnity Company (The)	301566	Agent - Property	2/5/2021	12/31/2021
Inactive	Cincinnati Insurance Company	301298	Agent - Casualty	2/5/2021	12/31/2021
Inactive	Cincinnati Insurance Company	301298	Agent - Property	2/5/2021	12/31/2021
Inactive	EMC Property & Casualty Company	955217	Agent - Casualty	5/12/2021	12/31/2021
Inactive	EMC Property & Casualty Company	955217	Agent - Property	5/12/2021	12/31/2021
Inactive	EMCASCO Insurance Company	842790	Agent - Casualty	4/10/2020	12/31/2021
Inactive	EMCASCO Insurance Company	842790	Agent - Property	4/10/2020	12/31/2021
Inactive	Employers Mutual Casualty Company	300202	Agent - Casualty	4/10/2020	12/31/2021
Inactive	Employers Mutual Casualty Company	300202	Agent - Property	4/10/2020	12/31/2021
Inactive	Everett Cash Mutual Insurance Company	750768	Agent - Casualty	7/1/2021	12/31/2021
Inactive	Everett Cash Mutual Insurance Company	750768	Agent - Property	7/1/2021	12/31/2021
Inactive	FCCI Insurance Company	557454	Agent - Casualty	7/1/2020	12/31/2021
Inactive	FCCI Insurance Company	557454	Agent - Property	7/1/2020	12/31/2021
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/23/2021	12/31/2021
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/23/2021	12/31/2021
Inactive	Frankenmuth Insurance Company	301481	Agent - Casualty	8/14/2019	1/1/2020
Inactive	Frankenmuth Insurance Company	301481	Agent - Property	8/14/2019	1/1/2020
Inactive	Insurance Company of the West	301520	Agent - Casualty	8/25/2021	12/31/2021
Inactive	Insurance Company of the West	301520	Agent - Property	8/25/2021	12/31/2021
Inactive	Keystone National Insurance Company	745173	Agent - Casualty	5/18/2018	1/1/2020
Inactive	Keystone National Insurance Company	745173	Agent - Property	5/18/2018	1/1/2020
Inactive	Meridian Security Insurance Company	300423	Agent - Casualty	3/19/2021	12/31/2021
Inactive	Meridian Security Insurance Company	300423	Agent - Property	3/19/2021	12/31/2021
Inactive	Milbank Insurance Company	925185	Agent - Casualty	8/5/2019	1/1/2020
Inactive	Milbank Insurance Company	925185	Agent - Property	8/5/2019	1/1/2020
Inactive	Monroe Guaranty Insurance Company	300771	Agent - Casualty	7/1/2020	12/31/2021
Inactive	Monroe Guaranty Insurance Company	300771	Agent - Property	7/1/2020	12/31/2021
Inactive	National Trust Insurance Company	300367	Agent - Casualty	7/1/2020	12/31/2021
Inactive	National Trust Insurance Company	300367	Agent - Property	7/1/2020	12/31/2021
Inactive	Old Guard Insurance Company	533854	Agent - Casualty	6/1/2021	6/10/2021
Inactive	Old Guard Insurance Company	533854	Agent - Property	6/1/2021	6/10/2021
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	8/9/2019	1/1/2020
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	8/9/2019	1/1/2020
Inactive	Union Insurance Company of Providence	842791	Agent - Casualty	4/10/2020	12/31/2021
Inactive	Union Insurance Company of Providence	842791	Agent - Property	4/10/2020	12/31/2021
Inactive	Westfield Champion Insurance Company	1054839	Agent - Casualty	6/1/2021	6/10/2021
Inactive	Westfield Champion Insurance Company	1054839	Agent - Property	6/1/2021	6/10/2021
Inactive	Westfield Insurance Company	301950	Agent - Casualty	10/19/2020	12/31/2021
Inactive	Westfield Insurance Company	301950	Agent - Property	10/19/2020	12/31/2021
Inactive	Westfield Premier Insurance Company	1055055	Agent - Casualty	6/1/2021	6/10/2021
Inactive	Westfield Premier Insurance Company	1055055	Agent - Property	6/1/2021	6/10/2021
Inactive	Westfield Superior Insurance Company	1054978	Agent - Casualty	6/1/2021	6/10/2021
Inactive	Westfield Superior Insurance Company	1054978	Agent - Property	6/1/2021	6/10/2021
Inactive	Westfield Touchstone Insurance Company	1055057	Agent - Casualty	6/1/2021	6/10/2021
Inactive	Westfield Touchstone Insurance Company	1055057	Agent - Property	6/1/2021	6/10/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Jessie Insurance Danville LLC	1026513	Agent - Casualty	4/13/2020	12/31/2021
Inactive	Jessie Insurance Danville LLC	1026513	Agent - Property	4/13/2020	12/31/2021
Inactive	Jessie Insurance LLC	821882	Agent - Casualty	4/13/2020	12/31/2021
Inactive	Jessie Insurance LLC	821882	Agent - Property	4/13/2020	12/31/2021
Inactive	Jessie Insurance Lebanon LLC	1016013	Agent - Casualty	4/13/2020	12/31/2021
Inactive	Jessie Insurance Lebanon LLC	1016013	Agent - Property	4/13/2020	12/31/2021