DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Staples, Brian K	DOIID	969639	NAIC NPN	18551943

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Denied	Resident	Agent	Life
Inactive	Resident	Agent	Casualty	10/20/2017	10/25/2019
Inactive	Resident	Agent	Property	10/20/2017	10/25/2019
* 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	Erie Insurance Company	300230	Agent - Casualty	10/24/2017	10/25/2019
Inactive	Erie Insurance Company	300230	Agent - Property	10/24/2017	10/25/2019
Inactive	Erie Insurance Exchange	300789	Agent - Casualty	10/24/2017	10/25/2019
Inactive	Erie Insurance Exchange	300789	Agent - Property	10/24/2017	10/25/2019
Inactive	Flagship City Insurance Company	789965	Agent - Casualty	1/2/2018	10/25/2019
Inactive	Flagship City Insurance Company	789965	Agent - Property	1/2/2018	10/25/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Franklin Insurance Agency, Inc.	875827	Agent - Casualty	10/30/2017	4/3/2018
Inactive	Franklin Insurance Agency, Inc.	875827	Agent - Property	10/30/2017	4/3/2018