DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Polley, Brent L	DOIID	366561	NAIC NPN	7198760

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Credit Life & Health	10/4/1996	8/7/2000
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	12/31/2003
Inactive	Resident	Agent	Life	4/26/2016	11/1/2017
Inactive	Resident	Agent	Health	6/21/2016	11/1/2017
Inactive	Resident	Agent	Credit Personal Property & Unemployment	7/16/1992	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	American Bankers Insurance Company of Florida	300360	Agent - Credit Personal Property & Unemployment	10/4/1996	8/7/2000
Inactive	American Bankers Insurance Company of Florida	300360	Agent - Limited Line Credit	8/7/2000	11/19/2001
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Credit Life & Health	10/4/1996	8/7/2000
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Limited Line Credit	8/7/2000	11/19/2001
Inactive	American Health and Life Insurance Company	300844	Agent - Health	6/22/2016	8/19/2016
Inactive	American Health and Life Insurance Company	300844	Agent - Life	6/22/2016	8/19/2016
Inactive	American Health and Life Insurance Company	300844	Agent - Limited Line Credit	12/21/2000	12/31/2003
Inactive	American Security Insurance Company	300901	Agent - Credit Personal Property & Unemployment	11/16/1999	8/7/2000
Inactive	American Security Insurance Company	300901	Agent - Limited Line Credit	8/7/2000	6/13/2003
Inactive	Associates Financial Life Insurance Company	301765	Agent - Limited Line Credit	10/19/2000	11/30/2001
Inactive	Pinnacle National Insurance Company	300698	Agent - Credit Personal Property & Unemployment	12/21/1999	8/7/2000
Inactive	Pinnacle National Insurance Company	300698	Agent - Limited Line Credit	8/7/2000	11/30/2001
Inactive	Standard Guaranty Insurance Company	300902	Agent - Credit Personal Property & Unemployment	11/16/1999	8/7/2000
Inactive	Standard Guaranty Insurance Company	300902	Agent - Limited Line Credit	8/7/2000	6/13/2003
Inactive	Triton Insurance Company	300654	Agent - Limited Line Credit	12/21/2000	12/31/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	First Insurance Agency Inc.	400315	Agent - Credit Personal Property & Unemployment	7/16/1992	7/12/1996