DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Pennbrook Ins Services Inc	DOIID	912880	NAIC NPN	2013419

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	4/16/2016		3/31/2026
Active	Non Resident	Agent	Property	4/16/2016		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
Inactive	Continental Casualty Company	301019	Agent - Casualty	1/30/2018	10/30/2024
Inactive	Continental Casualty Company	301019	Agent - Property	1/30/2018	10/30/2024
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Casualty	1/30/2018	10/30/2024
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Property	1/30/2018	10/30/2024

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Bergstrom, William John	1350457	Agent - Casualty	7/17/2024
Active	Bergstrom, William John	1350457	Agent - Property	7/17/2024
Inactive	Wiens, Clayton William	573318	Agent - Casualty	4/16/2016	7/2/2024
Inactive	Wiens, Clayton William	573318	Agent - Property	4/16/2016	7/2/2024