DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Brown, Jerry D.	DOIID	325351	NAIC NPN	252589

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	7/22/1988	3/31/1997
Inactive	Non Resident	Agent	Casualty	8/15/2000	9/30/2004
Inactive	Non Resident	Agent	Property	8/15/2000	9/30/2004
Inactive	Non Resident	Agent	General Lines	2/3/1995	8/15/2000
* 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	Hartford Casualty Insurance Company	301332	Agent - Casualty	8/15/2000	9/30/2004
Inactive	Hartford Casualty Insurance Company	301332	Agent - General Lines	2/3/1995	8/15/2000
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	8/15/2000	9/30/2004
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	12/23/2003	9/30/2004
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	12/23/2003	9/30/2004
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	8/15/2000	9/30/2004
Inactive	Twin City Fire Insurance Company	300721	Agent - General Lines	2/17/1995	8/15/2000
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	8/15/2000	9/30/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Key Benefit Administrators Inc.	396075	Administrator - Not Applicable	7/22/1988	3/31/1997