DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Brubaker, Kari Dawn	DOIID	800867	NAIC NPN	11404956

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	1/8/2013	5/31/2015
Inactive	Non Resident	Agent	Property	1/8/2013	5/31/2015
Inactive	Non Resident	Agent	Health	1/8/2013	5/31/2015
Active	Non Resident	Independent Adjuster	Property & Casualty	1/28/2025		5/31/2027
* 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
Independent Adjuster	03/15/2027	05/31/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Brotherhood Mutual Insurance Company	300940	Agent - Casualty	1/22/2013	2/13/2014
Inactive	Brotherhood Mutual Insurance Company	300940	Agent - Health	1/22/2013	2/13/2014
Inactive	Brotherhood Mutual Insurance Company	300940	Agent - Property	1/22/2013	2/13/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	AFICS, Inc	1122840	Independent Adjuster - Property & Casualty	1/31/2025