DEPARTMENT OF INSURANCE

Affiliations

Name	Headley, Brett R	DOIID	1391313	NAIC NPN	20335845

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	3/25/2025		11/30/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending	Ubs Financial Services Ins Agency Inc	399373	Agent - Life