DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Mommaerts, Brianne	DOIID	1076930	NAIC NPN	19441685

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	3/5/2020	3/31/2025
Inactive	Non Resident	Agent	Casualty	3/5/2020	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
Inactive	American Family Connect Property and Casualty Insurance Company	622403	Agent - Casualty	3/19/2020	9/13/2024
Inactive	American Family Connect Property and Casualty Insurance Company	622403	Agent - Property	3/19/2020	9/13/2024
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	7/26/2023	9/23/2024
Inactive	American Modern Home Insurance Company	300791	Agent - Property	7/26/2023	9/23/2024
Inactive	Homesite Insurance Company	301139	Agent - Casualty	11/14/2022	9/13/2024
Inactive	Homesite Insurance Company	301139	Agent - Property	11/14/2022	9/13/2024
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Casualty	11/14/2022	9/13/2024
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Property	11/14/2022	9/13/2024
Inactive	Midvale Indemnity Company	300292	Agent - Casualty	11/14/2022	9/13/2024
Inactive	Midvale Indemnity Company	300292	Agent - Property	11/14/2022	9/13/2024

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 Connect Insurance Agency, Inc.	619157	Agent - Casualty	8/15/2023	9/23/2024
Inactive	American Family Connect Insurance Agency, Inc.	619157	Agent - Property	8/15/2023	9/23/2024