DEPARTMENT OF INSURANCE

Affiliations

Name	Brown, William Lawrence	DOIID	304104	NAIC NPN	1496421

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	2/2/1988	4/1/2017
Inactive	Resident	Agent	Health	2/2/1988	4/1/2017
Inactive	Resident	Agent	Health Maintenance Organization	6/6/1991	3/1/2001
Inactive	Resident	Agent	Prepaid Dental Plan	11/2/1998	3/1/2001
Inactive	Resident	Life & Health Consultant	Not Applicable	11/17/1993	3/31/1995
* 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	Aetna Health Inc.	300694	Agent - Health	3/1/2001	12/31/2007
Inactive	Aetna Health Inc.	300694	Agent - Health Maintenance Organization	11/20/2000	3/1/2001
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	12/31/2007	9/21/2010
Inactive	Aetna Life Insurance Company	301140	Agent - Health	11/20/2000	9/21/2010
Inactive	Aetna Life Insurance Company	301140	Agent - Life	11/20/2000	9/21/2010
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	11/22/2005	11/22/2007
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	11/22/2005	11/22/2007
Inactive	American Equity Investment Life Insurance Company	300389	Agent - Life	5/2/2006	11/10/2011
Inactive	American General Life Insurance Company	301585	Agent - Health	8/3/2014	4/1/2017
Inactive	American General Life Insurance Company	301585	Agent - Life	8/3/2014	4/1/2017
Inactive	American United Life Insurance Company	300498	Agent - Health	5/26/2004	5/17/2015
Inactive	American United Life Insurance Company	300498	Agent - Life	5/26/2004	5/17/2015
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/1/2001	4/1/2002
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	6/6/1991	3/1/2001
Inactive	Anthem Life Insurance Company	301209	Agent - Health	8/2/1993	4/1/2017
Inactive	Anthem Life Insurance Company	301209	Agent - Life	8/2/1993	4/1/2017
Inactive	Banner Life Insurance Company	301696	Agent - Life	4/2/2012	8/4/2016
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	6/27/2001	10/12/2011
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	6/27/2001	10/12/2011
Inactive	CHA HMO, Inc.	300662	Agent - Health	2/25/2003	12/15/2004
Inactive	Canada Life Assurance Company	301192	Agent - Health	1/6/1992	5/11/1998
Inactive	Canada Life Assurance Company	301192	Agent - Life	1/6/1992	5/11/1998
Inactive	Canada Life Insurance Company of America	301100	Agent - Health	5/3/1993	2/29/1996
Inactive	Canada Life Insurance Company of America	301100	Agent - Life	5/3/1993	2/29/1996
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	6/17/1991	3/28/2006
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	6/17/1991	3/28/2006
Inactive	Cigna National Health Insurance Company	300235	Agent - Health	4/5/1993	3/31/1997
Inactive	Cigna National Health Insurance Company	300235	Agent - Life	4/5/1993	3/31/1997
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	5/15/2013	12/5/2014
Inactive	CompBenefits Insurance Company	301864	Agent - Health	10/31/2003	11/21/2006
Inactive	CompBenefits Insurance Company	301864	Agent - Life	10/31/2003	11/21/2006
Inactive	CompDent Corporation	301387	Agent - Health	3/1/2001	12/23/2004
Inactive	CompDent Corporation	301387	Agent - Prepaid Dental Plan	11/2/1998	3/1/2001
Inactive	Conseco Medical Insurance Company	300719	Agent - Health	1/23/1997	12/15/1998
Inactive	Conseco Medical Insurance Company	300719	Agent - Life	1/23/1997	12/15/1998
Inactive	Continental Casualty Company	301019	Agent - Health	10/30/1997	12/30/1999
Inactive	Delaware Life Insurance Company	301256	Agent - Life	5/16/2006	10/23/2008
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	12/5/2014
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	4/10/1996	3/13/2003
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	4/10/1996	3/13/2003
Inactive	First Colony Life Insurance Company	301179	Agent - Life	12/30/1991	7/19/2004
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Health	7/28/1999	12/31/2008
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	7/28/1999	12/18/2008
Inactive	Genworth Life Insurance Company	300623	Agent - Health	12/27/2011	12/7/2012
Inactive	Genworth Life Insurance Company	300623	Agent - Life	12/27/2011	12/7/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	6/12/2008	10/4/2009
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	1/23/2014	1/5/2015
Inactive	Golden Rule Insurance Company	301943	Agent - Health	10/27/2005	11/10/2008
Inactive	Golden Rule Insurance Company	301943	Agent - Life	10/27/2005	11/10/2008
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	3/11/1997	10/12/2011
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	3/11/1997	10/12/2011
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	5/15/2013	12/5/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/1/2001	8/11/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	10/29/1996	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	10/11/1990	8/11/2016
Inactive	Humana Insurance Company	301104	Agent - Life	10/11/1990	8/11/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/30/2004	12/5/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	5/20/2015	12/8/2015
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	6/25/2013	11/12/2015
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	6/25/2013	11/12/2015
Inactive	Jackson National Life Insurance Company	300486	Agent - Health	7/15/1993	5/19/1999
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	7/15/1993	5/19/1999
Inactive	John Alden Life Insurance Company	300573	Agent - Health	4/3/2000	12/29/2010
Inactive	John Alden Life Insurance Company	300573	Agent - Life	4/3/2000	12/29/2010
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	10/26/2006	6/7/2008
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	10/26/2006	6/7/2008
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	6/1/2000	11/4/2004
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	6/1/2000	11/4/2004
Inactive	Kanawha Insurance Company	300127	Agent - Health	5/15/2013	12/5/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	5/20/2015	10/22/2015
Inactive	Kansas City Life Insurance Company	301444	Agent - Health	4/21/1999	2/26/2003
Inactive	Kansas City Life Insurance Company	301444	Agent - Life	4/21/1999	2/26/2003
Inactive	LifeUSA Insurance Company	300386	Agent - Health	1/29/1991	3/4/2002
Inactive	LifeUSA Insurance Company	300386	Agent - Life	1/29/1991	3/4/2002
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	7/24/2003	8/12/2008
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	7/24/2003	8/12/2008
Inactive	Manhattan National Life Insurance Company	301011	Agent - Health	2/17/1995	10/11/1999
Inactive	Manhattan National Life Insurance Company	301011	Agent - Life	2/17/1995	10/11/1999
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Health	1/20/2006	12/22/2008
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Life	1/20/2006	12/22/2008
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	6/27/2013	6/24/2014
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	10/27/1992	5/17/1999
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	10/27/1992	5/17/1999
Inactive	Midland National Life Insurance Company	300923	Agent - Health	10/28/2010	3/9/2017
Inactive	Midland National Life Insurance Company	300923	Agent - Life	10/28/2010	3/9/2017
Inactive	Nassau Life Insurance Company	301406	Agent - Health	9/9/1998	8/16/1999
Inactive	Nassau Life Insurance Company	301406	Agent - Life	9/9/1998	8/16/1999
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	2/27/1996	12/30/2002
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	2/27/1996	12/30/2002
Inactive	PHL Variable Insurance Company	300525	Agent - Health	4/21/2000	2/1/2006
Inactive	PHL Variable Insurance Company	300525	Agent - Life	9/9/1998	8/16/1999
Inactive	PacifiCare Life Assurance Company	301082	Agent - Health	6/17/1998	7/31/2001
Inactive	PacifiCare Life Assurance Company	301082	Agent - Life	6/17/1998	7/31/2001
Inactive	PacifiCare of Ohio Inc.	301904	Agent - Health	3/1/2001	3/31/2001
Inactive	PacifiCare of Ohio Inc.	301904	Agent - Health Maintenance Organization	2/25/1997	3/1/2001
Inactive	Pacific Life Insurance Company	301848	Agent - Health	9/8/1994	7/16/2009
Inactive	Pacific Life Insurance Company	301848	Agent - Life	9/8/1994	7/16/2009
Inactive	Penn Insurance and Annuity Company	300712	Agent - Health	2/12/1997	10/8/1999
Inactive	Penn Insurance and Annuity Company	300712	Agent - Life	2/12/1997	10/8/1999
Inactive	Penn Mutual Life Insurance Company	301394	Agent - Health	1/31/1997	10/8/1999
Inactive	Penn Mutual Life Insurance Company	301394	Agent - Life	1/31/1997	10/8/1999
Inactive	Pioneer Life Insurance Company	300110	Agent - Health	4/2/1996	10/23/2002
Inactive	Pioneer Life Insurance Company	300110	Agent - Life	4/2/1996	10/23/2002
Inactive	Principal Life Insurance Company	300129	Agent - Health	10/26/1990	3/31/1997
Inactive	Principal Life Insurance Company	300129	Agent - Life	10/26/1990	3/31/1997
Inactive	Protective Life Insurance Company	300638	Agent - Health	11/7/2013	11/23/2015
Inactive	Protective Life Insurance Company	300638	Agent - Life	11/7/2013	11/23/2015
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	5/14/1992	10/24/2003
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	5/14/1992	10/24/2003
Inactive	Pruco Life Insurance Company	300954	Agent - Life	1/7/2014	12/22/2016
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	8/10/1995	1/3/2003
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	8/10/1995	1/3/2003
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Life	12/27/2000	11/19/2002
Inactive	Standard Insurance Company	300185	Agent - Health	9/21/1993	4/1/2017
Inactive	Standard Insurance Company	300185	Agent - Life	9/21/1993	4/1/2017
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Health	7/20/1989	3/31/1997
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Life	7/20/1989	3/31/1997
Inactive	Time Insurance Company	300683	Agent - Health	9/17/1996	10/19/2011
Inactive	Time Insurance Company	300683	Agent - Life	9/17/1996	10/19/2011
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	10/7/2009	6/4/2015
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	10/7/2009	6/4/2015
Inactive	Transamerica Life Insurance and Annuity Company	300148	Agent - Life	5/2/1988	10/4/2001
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	5/2/1988	10/4/2001
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	5/2/1988	10/4/2001
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Health	3/29/1994	3/31/1997
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	3/24/2005	7/2/2007
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	5/1/1997	9/9/2015
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	5/1/1997	9/9/2015
Inactive	Union Bankers Insurance Company	301769	Agent - Health	2/21/1989	6/12/1998
Inactive	Union Bankers Insurance Company	301769	Agent - Life	2/21/1989	6/12/1998
Inactive	Union Central Life Insurance Company	300307	Agent - Health	2/8/1994	11/15/2010
Inactive	Union Central Life Insurance Company	300307	Agent - Life	2/8/1994	11/15/2010
Inactive	Union Security Insurance Company	301844	Agent - Health	7/6/1999	11/22/2002
Inactive	Union Security Insurance Company	301844	Agent - Life	7/6/1999	11/22/2002
Inactive	United American Insurance Company	300910	Agent - Health	5/3/2012	12/23/2016
Inactive	United American Insurance Company	300910	Agent - Life	5/3/2012	12/23/2016
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	5/15/2012	6/24/2013
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	5/15/2012	6/24/2013
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	5/4/2004	11/30/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	5/4/2004	11/30/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	6/17/1992	6/25/1996
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	6/17/1992	6/25/1996
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	5/4/2004	11/30/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	5/4/2004	11/30/2016
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Life	3/16/2005	5/29/2015
Inactive	Washington National Insurance Company	300587	Agent - Health	4/20/1995	3/31/1997
Inactive	Washington National Insurance Company	300587	Agent - Life	4/20/1995	3/31/1997
Inactive	West Coast Life Insurance Company	301607	Agent - Health	10/2/2009	11/16/2011
Inactive	West Coast Life Insurance Company	301607	Agent - Life	10/2/2009	11/16/2011
Inactive	Wilcac Life Insurance Company	301573	Agent - Health	8/10/1995	11/17/2000
Inactive	Wilcac Life Insurance Company	301573	Agent - Life	8/10/1995	11/17/2000

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	9/15/1999	6/20/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	9/15/1999	6/20/2008
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	3/1/2001	7/22/2014
Inactive	Dental Choice Agency Inc.	398085	Agent - Prepaid Dental Plan	11/30/1999	3/1/2001
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/27/2008	4/1/2017
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/27/2008	4/1/2017
Inactive	Medlink Inc	400721	Agent - Life	5/14/2008	4/1/2017
Inactive	Medlink Inc	400721	Agent - Health	5/14/2008	4/1/2017
Inactive	VTX Agency Inc.	398130	Agent - Life	2/12/1996	1/13/1997
Inactive	VTX Agency Inc.	398130	Agent - Health	2/12/1996	1/13/1997