DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Ellis, Bradley Lee	DOIID	315776	NAIC NPN	1000594

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	3/30/2011	1/31/2020
Inactive	Non Resident	Agent	Life	3/30/2011	1/31/2020
* 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	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	2/23/2012	1/31/2020
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	2/23/2012	1/31/2020
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/17/2011	5/1/2012
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	10/17/2011	5/1/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/17/2011	5/1/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/17/2011	5/1/2012
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	9/17/2015	2/14/2018
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	9/17/2015	2/14/2018
Inactive	Continental American Insurance Company	301700	Agent - Health	3/23/2012	2/13/2020
Inactive	Continental American Insurance Company	301700	Agent - Life	3/23/2012	2/13/2020
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	9/6/2016	1/31/2020
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	9/6/2016	1/31/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Arison Insurance Services, Inc.	401001	Agent - Life
Denied	Arison Insurance Services, Inc.	401001	Agent - Health