DEPARTMENT OF INSURANCE

Affiliations

Name	Brian, Perry Dalton	DOIID	1013487	NAIC NPN	2724252

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Health	10/4/2018	5/31/2025
Pending Replacement	Non Resident	Agent	Life	10/4/2018	5/31/2025
* 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
Pending Replacement	Accendo Insurance Company	300312	Agent - Life	7/6/2020
Pending Replacement	Aetna Health Inc. (PA)	660717	Agent - Health	4/9/2021
Pending Replacement	Aetna Health and Life Insurance Company	300523	Agent - Health	7/6/2020
Pending Replacement	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/2/2020
Pending Replacement	Aetna Life Insurance Company	301140	Agent - Health	4/9/2021
Inactive	American Continental Insurance Company	643130	Agent - Life	7/6/2020	12/6/2021
Pending Replacement	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/3/2022
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	1/3/2022	12/19/2024
Pending Replacement	Anthem Insurance Companies, Inc.	300941	Agent - Health	1/3/2022
Pending Replacement	Compcare Health Services Insurance Corporation	948751	Agent - Health	1/3/2022
Pending Replacement	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	7/6/2020
Inactive	Elips Life Insurance Company	301087	Agent - Health	10/12/2022	11/20/2023
Inactive	Lumico Life Insurance Company	300354	Agent - Life	9/21/2021	2/17/2023
Inactive	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	12/19/2024	12/25/2024
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	10/18/2018	7/29/2021
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	10/18/2018	7/29/2021
Pending Replacement	SilverScript Insurance Company	663526	Agent - Health	7/8/2020
Inactive	Starmount Life Insurance Company	628031	Agent - Health	10/18/2018	7/29/2021
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	10/18/2018	7/29/2021
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	10/18/2018	7/29/2021
Inactive	Unum Insurance Company	301499	Agent - Health	10/18/2018	7/29/2021
Inactive	Unum Insurance Company	301499	Agent - Life	10/18/2018	7/29/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	Optavise, LLC	671337	Agent - Life	10/18/2018
Pending Replacement	Optavise, LLC	671337	Agent - Health	10/18/2018