DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Brubaker, Tyler Chalmer	DOIID	358977	NAIC NPN	7195407

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	6/30/2019
Inactive	Resident	Agent	Credit Life & Health	5/13/1999	8/7/2000
* 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	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	5/8/2007	7/27/2017
Inactive	Southern Financial Life Insurance Company	300664	Agent - Credit Life & Health	5/13/1999	8/7/2000
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	8/7/2000	4/2/2007
Inactive	Universal Underwriters Life Insurance Company	301200	Agent - Limited Line Credit	10/25/2005	10/6/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Champion-Ship, Inc.	509459	Agent - Credit Life & Health	5/30/2000	8/7/2000
Inactive	Champion-Ship, Inc.	509459	Agent - Limited Line Credit	8/8/2007	3/31/2016
Inactive	Owensboro Ford Center, Inc.	400436	Agent - Credit Life & Health	1/4/2000	8/7/2000
Inactive	Owensboro Ford Center, Inc.	400436	Agent - Limited Line Credit	7/30/2007	3/31/2019