DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Cornett, Brian Keith	DOIID	303132	NAIC NPN	7157065

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	6/23/1998	6/17/1999
Inactive	Resident	Agent	Health	6/23/1998	6/17/1999
* 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	Anthem Life Insurance Company	301209	Agent - Health	11/19/1998	6/17/1999
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/19/1998	6/17/1999
Inactive	Equitable Financial Life Insurance Company of America	301772	Agent - Health	6/23/1998	6/2/1999
Inactive	Equitable Financial Life Insurance Company of America	301772	Agent - Life	6/23/1998	6/2/1999
Inactive	First Colony Life Insurance Company	301179	Agent - Life	1/21/1999	6/17/1999
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	9/28/1998	12/31/1998
Inactive	MONY Life Insurance Company	301141	Agent - Health	6/23/1998	6/2/1999
Inactive	MONY Life Insurance Company	301141	Agent - Life	6/23/1998	6/2/1999
Inactive	Paul Revere Life Insurance Company	300971	Agent - Health	8/5/1998	6/17/1999
Inactive	Paul Revere Life Insurance Company	300971	Agent - Life	8/5/1998	6/17/1999
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	8/11/1998	6/17/1999
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	8/11/1998	6/17/1999
Inactive	Prudential Insurance Company of America	300784	Agent - Health	2/2/1999	6/17/1999
Inactive	Prudential Insurance Company of America	300784	Agent - Life	2/2/1999	6/17/1999
Inactive	State Life Insurance Company	301497	Agent - Health	3/8/1999	6/17/1999
Inactive	State Life Insurance Company	301497	Agent - Life	3/8/1999	6/17/1999

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	10/26/1998	6/17/1999
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	10/26/1998	6/17/1999
Inactive	Heartland Financial Services, Inc.	399820	Agent - Life	11/30/1998	6/3/1999
Inactive	Heartland Financial Services, Inc.	399820	Agent - Health	11/30/1998	6/3/1999