DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Ford, Brian	DOIID	1069202	NAIC NPN	17870270

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	4/17/2025		6/30/2025
Active	Non Resident	Agent	Life	12/27/2019		6/30/2025
* 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	04/15/2025	06/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American General Life Insurance Company	301585	Agent - Life	11/14/2024
Inactive	Brighthouse Life Insurance Company	301829	Agent - Life	3/19/2020	6/27/2024
Active	Everly Life Insurance Company	561641	Agent - Life	10/13/2024
Inactive	Independent Order of Foresters	300743	Agent - Life	2/25/2022	12/19/2022
Active	Pruco Life Insurance Company	300954	Agent - Life	5/21/2020
Active	United of Omaha Life Insurance Company	300156	Agent - Life	6/12/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Policygenius LLC	874468	Agent - Life	8/25/2021