DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Brown, Jeremy Dale	DOIID	366898	NAIC NPN	7198877

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	11/23/1999	7/1/2002
* 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	Augustar Life Assurance Corporation	301113	Agent - Life	2/22/2000	7/1/2002
Denied	Augustar Life Insurance Company	301816	Agent - Life
Inactive	Empower Annuity Insurance Company of America	300259	Agent - Life	6/8/2001	7/1/2002
Inactive	Keyport Life Insurance Company	300319	Agent - Life	1/4/2000	7/1/2002
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Life	3/3/2000	7/1/2002
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	5/14/2001	7/1/2002
Inactive	Western National Life Insurance Company	300461	Agent - Life	11/23/1999	7/1/2002

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Investar Insurance Agency Inc.	399342	Agent - Life	12/31/1999	7/1/2002