DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Clouse, Brandon	DOIID	1176580	NAIC NPN	16552083

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Health	12/10/2021		2/28/2025
Pending Replacement	Non Resident	Agent	Life	12/10/2021		2/28/2025
* 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	12/15/2024	02/28/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	1/26/2023	9/11/2024
Pending Replacement	Minnesota Life Insurance Company	300488	Agent - Health	11/21/2022
Pending Replacement	Minnesota Life Insurance Company	300488	Agent - Life	11/21/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Direct Benefits, An Alera Group Agency, Llc	1126744	Agent - Life
Denied	Direct Benefits, An Alera Group Agency, Llc	1126744	Agent - Health
Inactive	GCG Financial, LLC	525998	Agent - Life	11/21/2022	7/10/2024
Inactive	GCG Financial, LLC	525998	Agent - Health	11/21/2022	7/10/2024