DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Brazile, Tavish	DOIID	1003815	NAIC NPN	18801813

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	8/6/2018		8/31/2025
Active	Non Resident	Agent	Health	8/6/2018		8/31/2025
* 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	06/15/2025	08/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Retirement Life Insurance Company	706303	Agent - Health	12/23/2019	12/23/2022
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	6/9/2020
Active	Cigna National Health Insurance Company	300235	Agent - Health	1/9/2023
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	2/21/2019	6/13/2019
Inactive	Loyal American Life Insurance Company	301172	Agent - Life	2/21/2019	6/13/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Sutherland Global Services Inc	601788	Agent - Life	5/15/2019	6/13/2019
Inactive	Sutherland Global Services Inc	601788	Agent - Health	5/15/2019	6/13/2019