DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Modern Insurance Agency, LLC DBA : Breeze Insurance	DOIID	1055015	NAIC NPN	19273020

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/6/2019		3/31/2027
Active	Non Resident	Agent	Life	9/6/2019		3/31/2027
* 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	01/15/2027	03/31/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Ameritas Life Insurance Corporation	300126	Agent - Health	1/27/2025
Active	Ameritas Life Insurance Corporation	300126	Agent - Life	2/12/2025
Active	Assurity Life Insurance Company	301099	Agent - Health	1/24/2024
Active	Assurity Life Insurance Company	301099	Agent - Life	1/24/2024
Active	Banner Life Insurance Company	301696	Agent - Life	10/2/2023
Active	Berkshire Life Insurance Company of America	300983	Agent - Health	6/30/2023
Active	Berkshire Life Insurance Company of America	300983	Agent - Life	6/30/2023
Active	Guardian Life Insurance Company of America	301316	Agent - Health	6/30/2023
Active	Guardian Life Insurance Company of America	301316	Agent - Life	6/30/2023
Active	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	6/14/2023
Active	Pacific Life Insurance Company	301848	Agent - Health	3/27/2024
Active	Pacific Life Insurance Company	301848	Agent - Life	3/27/2024
Active	Principal Life Insurance Company	300129	Agent - Health	3/3/2023
Active	Principal Life Insurance Company	300129	Agent - Life	3/3/2023
Active	Standard Insurance Company	300185	Agent - Health	12/29/2022
Active	Standard Insurance Company	300185	Agent - Life	12/29/2022

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Nabity, Colin	963283	Agent - Health	9/6/2019
Active	Nabity, Colin	963283	Agent - Life	9/6/2019