DEPARTMENT OF INSURANCE

Affiliations

Name	Carroll, Bryan Maurice	DOIID	359060	NAIC NPN	7195457

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Adjuster	Independent	9/26/2002	4/27/2008
Active	Resident	Agent	Health	7/30/2007		8/31/2026
Active	Resident	Agent	Property	7/30/2007		8/31/2026
Active	Resident	Agent	Casualty	7/30/2007		8/31/2026
Active	Resident	Agent	Life	7/30/2007		8/31/2026
Inactive	Resident	Agent	General Lines	8/8/1996	12/13/1997
Inactive	Resident	Agent	Credit Life & Health	1/12/1994	4/8/1996
Inactive	Resident	Apprentice Adjuster	Not Applicable	9/15/1997	3/31/1998
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	06/15/2024	08/31/2024	06/17/2024	06/17/2024	Yes

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	9/23/2016	4/13/2023
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	9/23/2016	4/13/2023
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	11/2/2007	12/31/2018
Active	American Heritage Life Insurance Company	300272	Agent - Life	11/2/2007
Active	American Modern Home Insurance Company	300791	Agent - Casualty	1/26/2023
Active	American Modern Home Insurance Company	300791	Agent - Property	1/26/2023
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	11/14/2018
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	11/14/2018
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	3/22/2016	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	3/22/2016	11/14/2021
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/12/2021
Inactive	Assurity Life Insurance Company	301099	Agent - Health	10/25/2007	1/22/2009
Inactive	Assurity Life Insurance Company	301099	Agent - Life	10/25/2007	1/22/2009
Active	Bristol West Insurance Company	301655	Agent - Casualty	2/11/2008
Active	Bristol West Insurance Company	301655	Agent - Property	2/11/2008
Inactive	Crown Life Insurance Company	300151	Agent - Health	10/14/1994	3/31/1997
Inactive	Crown Life Insurance Company	300151	Agent - Life	10/14/1994	3/31/1997
Active	Dairyland Insurance Company	301370	Agent - Casualty	9/6/2007
Active	Dairyland Insurance Company	301370	Agent - Property	9/6/2007
Active	FB Insurance Company (The)	301763	Agent - Casualty	7/30/2007
Inactive	FB Insurance Company (The)	301763	Agent - General Lines	8/8/1996	12/13/1997
Active	FB Insurance Company (The)	301763	Agent - Health	7/30/2007
Active	FB Insurance Company (The)	301763	Agent - Property	7/30/2007
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	9/11/2007
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	9/11/2007
Inactive	Franklin Life Insurance Company (The)	300779	Agent - Credit Life & Health	1/12/1994	4/8/1996
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	12/28/2011	11/8/2013
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	12/28/2011	11/8/2013
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Health	1/11/1995	2/28/1996
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	1/11/1995	2/28/1996
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	7/30/2007
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - General Lines	8/8/1996	11/13/1997
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Health	7/30/2007
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	7/30/2007
Inactive	Pruco Life Insurance Company	300954	Agent - Health	5/31/1996	3/31/1997
Inactive	Pruco Life Insurance Company	300954	Agent - Life	5/31/1996	3/31/1997
Inactive	Prudential Insurance Company of America	300784	Agent - Health	5/31/1996	3/31/1997
Inactive	Prudential Insurance Company of America	300784	Agent - Life	5/31/1996	3/31/1997
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	7/30/2007
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	7/30/2007
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	5/2/2011	6/23/2017
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	5/2/2011	6/23/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Bryan Carroll LLC	715340	Agent - Life	10/9/2009
Active	Bryan Carroll LLC	715340	Agent - Health	10/9/2009
Active	Bryan Carroll LLC	715340	Agent - Casualty	10/9/2009
Active	Bryan Carroll LLC	715340	Agent - Property	10/9/2009
Active	Designated Agent Company Inc.	681257	Agent - Life	12/11/2013
Active	Designated Agent Company Inc.	681257	Agent - Health	12/11/2013
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - General Lines	8/16/1996	11/13/1997
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	8/28/2007
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	8/28/2007
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	8/28/2007
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	8/28/2007
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Adjuster - Independent	9/26/2002	4/27/2008
Active	Southern Capital Brokerage Co LLC	577403	Agent - Life	9/20/2016
Active	Southern Capital Brokerage Co LLC	577403	Agent - Health	9/20/2016