DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Southern, Brian	DOIID	1157155	NAIC NPN	16398046

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	9/8/2021		4/30/2026
Active	Non Resident	Agent	Health	9/8/2021		4/30/2026
* 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
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	12/27/2023
Active	Anthem Life Insurance Company	301209	Agent - Health	12/27/2023
Active	Anthem Life Insurance Company	301209	Agent - Life	12/27/2023
Inactive	CareSource Kentucky Co.	838179	Agent - Health	11/17/2021	4/7/2023
Active	Golden Rule Insurance Company	301943	Agent - Health	9/13/2021
Active	Golden Rule Insurance Company	301943	Agent - Life	9/13/2021
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	2/19/2024
Inactive	WellCare Health Plans of Kentucky, Inc.	838592	Agent - Health	11/8/2021	12/22/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	HealthMarkets Insurance Agency Inc	709727	Agent - Life	1/3/2022
Active	HealthMarkets Insurance Agency Inc	709727	Agent - Health	1/3/2022