DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Brazzil, Mary	DOIID	1107640	NAIC NPN	18944414

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	10/27/2020		2/28/2027
Active	Non Resident	Agent	Health	10/27/2020		2/28/2027
* 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	12/15/2024	02/28/2025	01/12/2025	01/12/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	1/1/2021	7/28/2021
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	1/1/2021	7/28/2021
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	7/26/2021	2/23/2023
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	7/26/2021	2/23/2023

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	1/1/2021	2/23/2023
Inactive	Sutherland Global Services Inc	601788	Agent - Health	1/1/2021	2/23/2023