DEPARTMENT OF INSURANCE

Affiliations

Name	Lively, Brandi Kerby	DOIID	1116863	NAIC NPN	7481289

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	1/14/2021	3/31/2023
Inactive	Non Resident	Agent	Casualty	1/14/2021	3/31/2023
* 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	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	3/29/2022	3/31/2023
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	3/29/2022	3/31/2023
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	3/12/2021	6/3/2021
Inactive	Bristol West Insurance Company	301655	Agent - Property	3/12/2021	6/3/2021
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	3/29/2022	3/31/2023
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	3/29/2022	3/31/2023
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	7/19/2021	12/16/2021
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	7/19/2021	12/16/2021
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	3/29/2022	3/31/2023
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	3/29/2022	3/31/2023
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	3/29/2022	3/31/2023
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	3/29/2022	3/31/2023
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	3/29/2022	3/31/2023
Inactive	The Phoenix Insurance Company	301502	Agent - Property	3/29/2022	3/31/2023
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	3/29/2022	3/31/2023
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	3/29/2022	3/31/2023
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	3/29/2022	3/31/2023
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	3/29/2022	3/31/2023
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	3/29/2022	3/31/2023
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	3/29/2022	3/31/2023
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	3/29/2022	3/31/2023
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	3/29/2022	3/31/2023
Inactive	Travelers Property Casualty Company of America	301649	Agent - Casualty	3/29/2022	3/31/2023
Inactive	Travelers Property Casualty Company of America	301649	Agent - Property	3/29/2022	3/31/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Elite Insurance Group, Inc	1068895	Agent - Casualty	7/20/2021	12/14/2021
Inactive	Elite Insurance Group, Inc	1068895	Agent - Property	7/20/2021	12/14/2021