DEPARTMENT OF INSURANCE

Affiliations

Name	Couch-Braunsdorf Affinity Inc	DOIID	645263	NAIC NPN	8982794

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	7/28/2010	3/31/2026
Active	Non Resident	Agent	Property	7/28/2010	3/31/2026
Active	Non Resident	Agent	Life	3/1/2007	3/31/2026
Active	Non Resident	Agent	Health	3/1/2007	3/31/2026
* 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	01/15/2026	03/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Family Connect Property and Casualty Insurance Company	622403	Agent - Casualty	2/20/2012
Active	American Family Connect Property and Casualty Insurance Company	622403	Agent - Property	2/20/2012
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	4/23/2007	6/14/2010
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	4/23/2007	6/14/2010
Active	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	11/4/2010
Active	First Liberty Insurance Corporation (The)	301060	Agent - Property	11/4/2010
Active	LM General Insurance Company	300133	Agent - Casualty	11/4/2010
Active	LM General Insurance Company	300133	Agent - Property	11/4/2010
Active	LM Insurance Corporation	301061	Agent - Casualty	11/4/2010
Active	LM Insurance Corporation	301061	Agent - Property	11/4/2010
Active	Liberty Insurance Corporation	300444	Agent - Casualty	11/4/2010
Active	Liberty Insurance Corporation	300444	Agent - Property	11/4/2010
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	11/4/2010
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Property	11/4/2010
Active	Liberty Mutual Insurance Company	301159	Agent - Casualty	11/4/2010
Active	Liberty Mutual Insurance Company	301159	Agent - Property	11/4/2010
Active	Standard Fire Insurance Company (The)	301068	Agent - Casualty	7/31/2015
Active	Standard Fire Insurance Company (The)	301068	Agent - Property	7/31/2015
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	4/23/2007	6/14/2010
Inactive	The Phoenix Insurance Company	301502	Agent - Property	4/23/2007	6/14/2010
Inactive	TravCo Insurance Company	301828	Agent - Casualty	4/23/2007	6/14/2010
Inactive	TravCo Insurance Company	301828	Agent - Property	4/23/2007	6/14/2010
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Casualty	4/23/2007	6/14/2010
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Property	4/23/2007	6/14/2010
Inactive	Travelers Commercial Insurance Company	301506	Agent - Casualty	6/20/2017	11/26/2024
Inactive	Travelers Commercial Insurance Company	301506	Agent - Property	6/20/2017	11/26/2024
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	4/23/2007	6/14/2010
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	4/23/2007	6/14/2010
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	4/23/2007	6/14/2010
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	4/23/2007	6/14/2010
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	3/13/2018	11/26/2024
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	3/13/2018	11/26/2024
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Casualty	4/23/2007	6/14/2010
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Property	4/23/2007	6/14/2010
Active	United States Fire Insurance Company	582240	Agent - Casualty	7/19/2017
Active	United States Fire Insurance Company	582240	Agent - Property	7/19/2017

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Chibbaro, Mark C	643866	Agent - Casualty	4/13/2007	6/14/2010
Inactive	Chibbaro, Mark C	643866	Agent - Health	3/1/2007	6/14/2010
Inactive	Chibbaro, Mark C	643866	Agent - Life	3/1/2007	6/14/2010
Inactive	Chibbaro, Mark C	643866	Agent - Property	4/13/2007	6/14/2010
Active	Miller, Timothy Richard	679649	Agent - Casualty	7/28/2010
Active	Miller, Timothy Richard	679649	Agent - Health	6/14/2010
Active	Miller, Timothy Richard	679649	Agent - Life	6/14/2010
Active	Miller, Timothy Richard	679649	Agent - Property	7/28/2010