DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Green, Bradley D	DOIID	535349	NAIC NPN	680543

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	8/10/2001	8/31/2025
Inactive	Non Resident	Agent	Life	1/10/2011	8/31/2025
* 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
Inactive	Dental Choice, Inc.	301702	Agent - Health	8/10/2001	12/29/2003
Inactive	Thrivent Financial for Lutherans	301101	Agent - Health	6/4/2021	9/3/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Conover Ins Services LLC	745276	Agent - Health
Denied	Conover Ins Services LLC	745276	Agent - Life