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
Active	Non Resident	Agent	Life	10/4/2018	5/31/2025
Active	Non Resident	Agent	Health	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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	03/15/2025	05/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Accendo Insurance Company	300312	Agent - Life	7/6/2020
Active	Aetna Health Inc. (PA)	660717	Agent - Health	4/9/2021
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	7/6/2020
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/2/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	4/9/2021
Inactive	American Continental Insurance Company	643130	Agent - Life	7/6/2020	12/6/2021
Active	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
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	1/3/2022
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	1/3/2022
Active	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
Active	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
Active	Optavise, LLC	671337	Agent - Life	10/18/2018
Active	Optavise, LLC	671337	Agent - Health	10/18/2018