DEPARTMENT OF INSURANCE

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	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.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Brighthouse Life Insurance Company	301829	Agent - Life	3/19/2020	6/27/2024
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