DEPARTMENT OF INSURANCE

Affiliations

Name	Blain, Bradford Hart	DOIID	386773	NAIC NPN	1004728

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	5/31/2001		4/30/2025
Active	Resident	Agent	Health	10/4/1979		4/30/2025
Active	Resident	Agent	Property	8/15/2000		4/30/2025
Active	Resident	Agent	Casualty	8/15/2000		4/30/2025
Inactive	Resident	Agent	Variable Life and Variable Annuities	3/20/2001	2/24/2011
Inactive	Resident	Agent	Health Maintenance Organization	9/18/1997	3/1/2001
Inactive	Resident	Agent	General Lines	3/18/1971	8/15/2000
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	ACE American Insurance Company	300625	Agent - Health	4/7/2004	7/20/2007
Inactive	Aetna Health Inc.	300694	Agent - Health	1/25/2001	12/31/2007
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	12/31/2007	9/21/2010
Inactive	Aetna Life Insurance Company	301140	Agent - Health	1/25/2001	9/21/2010
Inactive	Aetna Life Insurance Company	301140	Agent - Life	5/31/2001	9/21/2010
Active	All Savers Insurance Company	301940	Agent - Health	10/17/2016
Active	All Savers Insurance Company	301940	Agent - Life	10/17/2016
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Casualty	8/15/2000	7/12/2006
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - General Lines	7/28/1986	8/15/2000
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Property	8/15/2000	7/12/2006
Inactive	American Economy Insurance Company	300315	Agent - Casualty	3/25/2022	7/24/2023
Inactive	American Economy Insurance Company	300315	Agent - Property	3/25/2022	7/24/2023
Inactive	American Equity Investment Life Insurance Company	300389	Agent - Life	10/12/2009	12/12/2011
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	12/7/2011	7/24/2023
Inactive	American Fire and Casualty Company	300567	Agent - Property	12/7/2011	7/24/2023
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	3/14/2002	2/4/2009
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	3/14/2002	2/4/2009
Inactive	American Modern Home Insurance Company	300791	Agent - General Lines	5/22/1995	3/31/1998
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Health	1/19/2019	10/26/2021
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	10/27/2021
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/12/2021
Active	Anthem Life Insurance Company	301209	Agent - Health	2/1/2015
Active	Anthem Life Insurance Company	301209	Agent - Life	2/1/2015
Inactive	Assurity Life Insurance Company	301099	Agent - Health	6/10/2021	12/20/2022
Inactive	Assurity Life Insurance Company	301099	Agent - Life	6/10/2021	12/20/2022
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Health	7/6/1999	9/5/2006
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	5/31/2001	9/5/2006
Inactive	Athene Annuity and Life Company	301893	Agent - Life	10/1/2008	11/5/2008
Inactive	Auto-Owners Insurance Company	301480	Agent - Casualty	1/20/2020	4/11/2023
Inactive	Auto-Owners Insurance Company	301480	Agent - Property	1/20/2020	4/11/2023
Inactive	Auto-Owners Life Insurance Company	301368	Agent - Health	1/20/2020	4/11/2023
Inactive	Auto-Owners Life Insurance Company	301368	Agent - Life	1/20/2020	4/11/2023
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	12/8/2009	4/18/2022
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	12/8/2009	4/18/2022
Inactive	Aviva Life Insurance Company	301615	Agent - Life	7/25/2006	10/1/2008
Inactive	BCS Insurance Company	300294	Agent - Casualty	8/15/2000	3/26/2004
Inactive	BCS Insurance Company	300294	Agent - General Lines	6/12/1998	8/15/2000
Inactive	BCS Insurance Company	300294	Agent - Property	8/15/2000	3/26/2004
Active	Banner Life Insurance Company	301696	Agent - Life	11/26/2008
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	8/3/2011	12/21/2011
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	8/3/2011	12/21/2011
Active	Brighthouse Life Insurance Company	301829	Agent - Life	11/14/2014
Inactive	Buckeye Union Insurance Company (The)	300597	Agent - General Lines	2/5/1997	3/31/1998
Inactive	Canada Life Assurance Company	301192	Agent - Life	9/10/1998	9/29/2003
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	8/12/1997	4/1/2007
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	5/31/2001	4/1/2007
Active	Cincinnati Life Insurance Company (The)	300601	Agent - Health	4/3/2012
Active	Cincinnati Life Insurance Company (The)	300601	Agent - Life	4/3/2012
Active	Citizens Security Life Insurance Company	301257	Agent - Health	4/14/2005
Active	Citizens Security Life Insurance Company	301257	Agent - Life	4/14/2005
Inactive	Clarica Life Insurance Company - U.S.	300207	Agent - Health	1/21/1992	3/31/1997
Inactive	Clarica Life Insurance Company - U.S.	300207	Agent - Life	1/21/1992	3/31/1997
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	11/6/2009	3/14/2019
Inactive	CompBenefits Insurance Company	301864	Agent - Health	11/6/2009	7/2/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	11/6/2009	7/2/2013
Inactive	Companion Life Insurance Company	300191	Agent - Health	10/17/2013	7/16/2018
Inactive	Companion Life Insurance Company	300191	Agent - Life	10/17/2013	7/16/2018
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	10/27/2021
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	4/9/2010	6/11/2014
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	8/15/2000	10/13/2022
Inactive	Consolidated Insurance Company	300943	Agent - General Lines	3/13/1998	8/15/2000
Inactive	Consolidated Insurance Company	300943	Agent - Property	8/15/2000	10/13/2022
Inactive	Continental Casualty Company	301019	Agent - Casualty	8/15/2000	7/12/2006
Inactive	Continental Casualty Company	301019	Agent - General Lines	7/28/1986	8/15/2000
Inactive	Continental Casualty Company	301019	Agent - Property	8/15/2000	7/12/2006
Inactive	Continental Insurance Company (The)	301242	Agent - Casualty	2/24/2006	7/12/2006
Inactive	Continental Insurance Company (The)	301242	Agent - General Lines	2/6/1997	3/31/1998
Inactive	Continental Insurance Company (The)	301242	Agent - Property	2/24/2006	7/12/2006
Inactive	Country Investors Life Assurance Company	301973	Agent - Health	3/31/2009	12/31/2020
Inactive	Country Investors Life Assurance Company	301973	Agent - Life	3/31/2009	12/31/2020
Inactive	Country Life Insurance Company	300595	Agent - Health	3/31/2009	12/31/2020
Inactive	Country Life Insurance Company	300595	Agent - Life	3/31/2009	12/31/2020
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	11/19/2008	7/23/2018
Active	Dental Care Plus Inc.	301495	Agent - Health	3/29/2013
Active	Dental Concern Inc. (The)	301641	Agent - Health	6/17/2002
Inactive	EMC National Life Company	300388	Agent - Health	3/21/2016	3/20/2024
Inactive	EMC National Life Company	300388	Agent - Life	3/21/2016	3/20/2024
Inactive	Farmers New World Life Insurance Company	300536	Agent - Life	6/3/2002	11/12/2012
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Health	5/29/1980	3/31/1997
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	5/29/1980	3/31/1997
Active	Fidelity Security Life Insurance Company	300466	Agent - Health	6/6/2016
Active	Fidelity Security Life Insurance Company	300466	Agent - Life	6/6/2016
Inactive	Fidelity and Casualty Company of New York (The)	300160	Agent - General Lines	2/1/1997	3/31/1998
Inactive	Fidelity and Guaranty Insurance Company	301009	Agent - Casualty	8/15/2000	12/9/2013
Inactive	Fidelity and Guaranty Insurance Company	301009	Agent - General Lines	11/12/1998	8/15/2000
Inactive	Fidelity and Guaranty Insurance Company	301009	Agent - Property	8/15/2000	12/9/2013
Inactive	Fidelity and Guaranty Insurance Underwriters Inc.	300559	Agent - Casualty	8/29/2002	12/9/2013
Inactive	Fidelity and Guaranty Insurance Underwriters Inc.	300559	Agent - Property	8/29/2002	12/9/2013
Inactive	Firemen's Insurance Company of Newark, New Jersey	300247	Agent - General Lines	2/4/1997	3/31/1998
Inactive	First Colony Life Insurance Company	301179	Agent - Life	5/31/2001	1/1/2007
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	11/19/2008	4/24/2017
Inactive	General American Life Insurance Company	300280	Agent - Health	4/19/1994	1/2/1997
Inactive	General American Life Insurance Company	300280	Agent - Life	4/19/1994	1/2/1997
Inactive	Genworth Life Insurance Company	300623	Agent - Health	10/23/2009	1/5/2015
Inactive	Genworth Life Insurance Company	300623	Agent - Life	10/23/2009	1/5/2015
Inactive	Genworth Life Insurance Company	300623	Agent - Variable Life and Variable Annuities	2/25/2002	9/23/2009
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	1/8/2010	12/14/2016
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	1/8/2010	12/14/2016
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Variable Life and Variable Annuities	2/25/2002	12/10/2008
Active	Gleaner Life Insurance Society	689297	Agent - Life	5/6/2019
Inactive	Glens Falls Insurance Company (The)	301922	Agent - General Lines	2/4/1997	3/31/1998
Inactive	Golden Rule Insurance Company	301943	Agent - Health	1/19/2016	12/13/2022
Inactive	Golden Rule Insurance Company	301943	Agent - Life	1/19/2016	12/14/2022
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	5/16/2005	1/29/2021
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	5/16/2005	1/29/2021
Inactive	Grange Insurance Company	300234	Agent - Casualty	5/16/2005	1/29/2021
Inactive	Grange Insurance Company	300234	Agent - Property	5/16/2005	1/29/2021
Inactive	Grange Life Insurance Company	300128	Agent - Health	5/16/2005	1/29/2021
Inactive	Grange Life Insurance Company	300128	Agent - Life	5/16/2005	12/28/2020
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	1/11/2008	1/29/2021
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	1/11/2008	1/29/2021
Inactive	Guarantee Life Insurance Company	301560	Agent - Health	6/3/1998	9/8/2000
Inactive	Guarantee Life Insurance Company	301560	Agent - Life	6/3/1998	9/8/2000
Active	Guardian Life Insurance Company of America	301316	Agent - Health	8/3/2011
Active	Guardian Life Insurance Company of America	301316	Agent - Life	8/3/2011
Inactive	GuideOne Life Insurance Company	300098	Agent - Health	4/12/2001	9/30/2003
Inactive	GuideOne Life Insurance Company	300098	Agent - Life	4/12/2001	9/30/2003
Inactive	Hartford Life Group Insurance Company	301708	Agent - Health	7/29/2004	12/31/2006
Inactive	Hartford Life Group Insurance Company	301708	Agent - Life	7/29/2004	12/31/2006
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	2/26/2019
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	2/26/2019
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	4/13/2021
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	4/13/2021
Active	Humana Health Plan, Inc.	300142	Agent - Health	3/1/2001
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	9/18/1997	3/1/2001
Active	Humana Insurance Company	301104	Agent - Health	10/28/1994
Active	Humana Insurance Company	301104	Agent - Life	5/31/2001
Active	Humana Insurance Company of Kentucky	300826	Agent - Health	1/29/2004
Active	Humana Insurance Company of Kentucky	300826	Agent - Life	1/29/2004
Active	Humana Medical Plan, Inc.	801568	Agent - Health	4/13/2021
Active	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	4/13/2021
Inactive	HumanaDental Insurance Company	301457	Agent - Health	10/16/2001	5/13/2013
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	2/20/2019	12/14/2023
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	2/20/2019	12/14/2023
Inactive	Indiana Insurance Company	301909	Agent - Casualty	8/15/2000	2/3/2023
Inactive	Indiana Insurance Company	301909	Agent - General Lines	3/13/1998	8/15/2000
Inactive	Indiana Insurance Company	301909	Agent - Property	8/15/2000	2/3/2023
Active	Integrity Life Insurance Company	301687	Agent - Life	10/13/2014
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Health	3/4/1998	2/26/2016
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	5/31/2001	2/26/2016
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	10/4/2005	12/13/2006
Inactive	Jackson National Life Insurance Company	300486	Agent - Variable Life and Variable Annuities	10/4/2005	12/13/2006
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	5/3/2000	7/2/2007
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	7/7/2003	7/2/2007
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Variable Life and Variable Annuities	3/20/2001	7/2/2007
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	7/7/2003	4/2/2007
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	7/7/2003	4/2/2007
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Variable Life and Variable Annuities	7/7/2003	4/2/2007
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	4/28/2003	7/19/2008
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	4/28/2003	7/19/2008
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	10/30/2015	11/19/2017
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	10/30/2015	11/19/2017
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Life	10/9/1996	3/31/1997
Inactive	Kanawha Insurance Company	300127	Agent - Health	3/16/2016	1/22/2018
Inactive	Kanawha Insurance Company	300127	Agent - Life	3/16/2016	1/22/2018
Inactive	Kansas City Fire and Marine Insurance Company	301936	Agent - General Lines	2/4/1997	3/31/1998
Inactive	Kansas City Life Insurance Company	301444	Agent - Health	9/30/2003	2/17/2005
Inactive	Kansas City Life Insurance Company	301444	Agent - Life	10/1/2003	2/17/2005
Inactive	Kentucky Health Cooperative, Inc.	798780	Agent - Health	10/3/2013	10/29/2015
Active	Life Insurance Company of North America	300711	Agent - Health	10/19/2001
Active	Life Insurance Company of North America	300711	Agent - Life	10/19/2001
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	11/17/2004	7/14/2014
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	11/17/2004	7/14/2014
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	6/18/2024
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	6/18/2024
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Variable Life and Variable Annuities	3/22/2007	2/24/2011
Inactive	MEGA Life and Health Insurance Company (The)	300751	Agent - Health	8/20/1997	11/22/2002
Inactive	MEGA Life and Health Insurance Company (The)	300751	Agent - Life	8/20/1997	11/22/2002
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	7/15/2010	11/14/2014
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	5/27/2009	12/11/2012
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	5/27/2009	12/11/2012
Inactive	Mid-West National Life Insurance Company of Tennessee	300097	Agent - Health	8/20/1997	11/22/2002
Inactive	Mid-West National Life Insurance Company of Tennessee	300097	Agent - Life	8/20/1997	11/22/2002
Inactive	Minnesota Life Insurance Company	300488	Agent - Health	8/26/2016	1/8/2019
Inactive	Minnesota Life Insurance Company	300488	Agent - Life	8/26/2016	1/8/2019
Active	Mutual of Omaha Insurance Company	301012	Agent - Health	10/2/1996
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Casualty	8/15/2000	7/12/2006
Inactive	National Fire Insurance Company of Hartford	301063	Agent - General Lines	7/28/1986	8/15/2000
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Property	8/15/2000	7/12/2006
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	8/15/2000	7/24/2023
Inactive	Netherlands Insurance Company (The)	300339	Agent - General Lines	3/13/1998	8/15/2000
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	8/15/2000	7/24/2023
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	10/6/2016	6/6/2018
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	12/7/2011	7/24/2023
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	12/7/2011	7/24/2023
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	12/7/2011	7/24/2023
Inactive	Ohio Security Insurance Company	300622	Agent - Property	12/7/2011	7/24/2023
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Life	3/13/1997	4/21/1999
Inactive	Omaha Insurance Company	751908	Agent - Health	11/9/2012	8/8/2018
Inactive	Order of United Commercial Travelers of America	301723	Agent - Life	5/30/1996	3/11/2002
Inactive	Owners Insurance Company	300796	Agent - Casualty	1/20/2020	4/11/2023
Inactive	Owners Insurance Company	300796	Agent - Property	1/20/2020	4/11/2023
Inactive	Pacific Life Insurance Company	301848	Agent - Health	10/26/1999	12/29/2006
Active	Pacific Life Insurance Company	301848	Agent - Life	3/12/2018
Inactive	Peerless Insurance Company	301910	Agent - Casualty	8/15/2000	7/24/2023
Inactive	Peerless Insurance Company	301910	Agent - General Lines	3/13/1998	8/15/2000
Inactive	Peerless Insurance Company	301910	Agent - Property	8/15/2000	7/24/2023
Inactive	Peoples Benefit Life Insurance Company	301895	Agent - Health	7/23/1997	5/23/2005
Inactive	Peoples Benefit Life Insurance Company	301895	Agent - Life	5/31/2001	5/23/2005
Active	Principal Life Insurance Company	300129	Agent - Health	6/16/1989
Active	Principal Life Insurance Company	300129	Agent - Life	5/31/2001
Inactive	Principal Life Insurance Company	300129	Agent - Variable Life and Variable Annuities	6/19/2001	2/24/2011
Active	Principal National Life Insurance Company	301926	Agent - Life	10/10/2016
Active	Protective Life Insurance Company	300638	Agent - Health	12/18/2023
Active	Protective Life Insurance Company	300638	Agent - Life	12/18/2023
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	1/20/2011	9/9/2015
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	1/20/2011	9/9/2015
Active	Pruco Life Insurance Company	300954	Agent - Health	9/28/2011
Active	Pruco Life Insurance Company	300954	Agent - Life	9/28/2011
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	2/12/1996	1/2/2003
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	2/12/1996	1/2/2003
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	12/7/2011	8/5/2016
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	12/7/2011	8/5/2016
Inactive	ReliaStar Life Insurance Company of New York	301018	Agent - Health	10/9/1998	6/25/2008
Inactive	ReliaStar Life Insurance Company of New York	301018	Agent - Life	5/31/2001	6/25/2008
Active	Reliance Standard Life Insurance Company	300584	Agent - Health	7/15/2010
Active	Reliance Standard Life Insurance Company	300584	Agent - Life	7/15/2010
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	12/16/2022	7/24/2023
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	12/16/2022	7/24/2023
Inactive	Seaboard Surety Company	300510	Agent - Casualty	8/29/2002	1/2/2009
Inactive	Security Life of Denver Insurance Company	300648	Agent - Health	12/7/2011	9/29/2012
Inactive	Security Life of Denver Insurance Company	300648	Agent - Life	12/7/2011	9/29/2012
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Health	7/27/1993	3/31/1997
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Life	7/27/1993	3/31/1997
Inactive	Shenandoah Life Insurance Company	300130	Agent - Health	12/15/2003	3/31/2009
Inactive	Shenandoah Life Insurance Company	300130	Agent - Life	12/15/2003	3/31/2009
Inactive	SilverScript Insurance Company	663526	Agent - Health	10/15/2012	4/3/2023
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	8/29/2002	12/9/2013
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	8/29/2002	12/9/2013
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Casualty	8/29/2002	12/9/2013
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Property	8/29/2002	12/9/2013
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Casualty	8/29/2002	12/9/2013
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Property	8/29/2002	12/9/2013
Inactive	St. Paul Protective Insurance Company	301215	Agent - Casualty	8/29/2002	4/21/2003
Inactive	St. Paul Protective Insurance Company	301215	Agent - Property	8/29/2002	4/21/2003
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	12/8/2009	4/18/2022
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	12/8/2009	4/18/2022
Inactive	Standard Insurance Company	300185	Agent - Health	2/8/2006	12/5/2022
Inactive	Standard Insurance Company	300185	Agent - Life	2/8/2006	12/5/2022
Active	Standard Life and Accident Insurance Company	301534	Agent - Health	12/29/2015
Active	Superior Dental Care Inc.	300418	Agent - Health	11/11/2010
Inactive	Symetra Life Insurance Company	301691	Agent - Health	4/5/2002	12/16/2005
Inactive	Symetra Life Insurance Company	301691	Agent - Life	4/5/2002	12/16/2005
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Health	12/2/2004	5/30/2019
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Life	12/2/2004	5/30/2019
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	12/8/2009	4/18/2022
Inactive	The Phoenix Insurance Company	301502	Agent - Property	12/8/2009	4/18/2022
Inactive	Thrivent Financial for Lutherans	301101	Agent - Health	5/3/2023	9/25/2023
Inactive	Thrivent Financial for Lutherans	301101	Agent - Life	5/29/2019	9/25/2023
Inactive	Time Insurance Company	300683	Agent - Health	1/21/2014	12/20/2014
Inactive	Time Insurance Company	300683	Agent - Life	1/21/2014	12/20/2014
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	10/1/2008	3/15/2021
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	10/1/2008	3/15/2021
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	9/3/1996	10/1/2008
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	5/31/2001	10/1/2008
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	4/12/1995	6/29/1998
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	4/12/1995	6/29/1998
Inactive	Transcontinental Insurance Company	301731	Agent - Casualty	8/15/2000	7/12/2006
Inactive	Transcontinental Insurance Company	301731	Agent - General Lines	7/28/1986	8/15/2000
Inactive	Transcontinental Insurance Company	301731	Agent - Property	8/15/2000	7/12/2006
Inactive	Transportation Insurance Company	301575	Agent - Casualty	8/15/2000	7/12/2006
Inactive	Transportation Insurance Company	301575	Agent - General Lines	7/28/1986	8/15/2000
Inactive	Transportation Insurance Company	301575	Agent - Property	8/15/2000	7/12/2006
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - Casualty	1/2/2009	4/18/2022
Inactive	Travelers Commercial Insurance Company	301506	Agent - Casualty	12/8/2009	12/9/2013
Inactive	Travelers Commercial Insurance Company	301506	Agent - Property	12/8/2009	12/9/2013
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	12/8/2009	4/18/2022
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	12/8/2009	4/18/2022
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	12/8/2009	4/18/2022
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	12/8/2009	4/18/2022
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	12/8/2009	4/18/2022
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	12/8/2009	4/18/2022
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	5/16/2005	1/29/2021
Inactive	Trustgard Insurance Company	300104	Agent - Property	5/16/2005	1/29/2021
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Health	4/28/2000	9/4/2007
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	5/31/2001	10/18/2007
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	1/20/2011	9/9/2015
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	1/20/2011	9/9/2015
Inactive	Union Central Life Insurance Company	300307	Agent - Health	4/23/2005	3/3/2006
Inactive	Union Central Life Insurance Company	300307	Agent - Life	4/23/2005	3/3/2006
Inactive	Union Security Insurance Company	301844	Agent - Health	10/9/1998	1/14/2015
Inactive	Union Security Insurance Company	301844	Agent - Life	5/31/2001	1/14/2015
Inactive	United States Fidelity and Guaranty Company	301449	Agent - Casualty	8/15/2000	4/18/2022
Inactive	United States Fidelity and Guaranty Company	301449	Agent - General Lines	9/25/1979	8/15/2000
Inactive	United States Fidelity and Guaranty Company	301449	Agent - Property	8/15/2000	4/18/2022
Active	United World Life Insurance Company	300532	Agent - Health	3/23/2018
Active	United of Omaha Life Insurance Company	300156	Agent - Health	2/23/1995
Active	United of Omaha Life Insurance Company	300156	Agent - Life	5/31/2001
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	3/29/2017	3/27/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	3/29/2017	3/27/2023
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	1/19/2016	11/4/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	1/19/2016	11/4/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	1/15/2016	2/14/2017
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	4/30/2004	12/12/2009
Inactive	Valley Forge Insurance Company	301052	Agent - Casualty	8/15/2000	7/12/2006
Inactive	Valley Forge Insurance Company	301052	Agent - General Lines	7/28/1986	8/15/2000
Inactive	Valley Forge Insurance Company	301052	Agent - Property	8/15/2000	7/12/2006
Inactive	West American Insurance Company	301112	Agent - Casualty	12/7/2011	7/24/2023
Inactive	West American Insurance Company	301112	Agent - Property	12/7/2011	7/24/2023
Inactive	West Bend Insurance Company	672974	Agent - Casualty	9/2/2015	1/28/2021
Inactive	West Bend Insurance Company	672974	Agent - Property	9/2/2015	1/28/2021
Inactive	West Coast Life Insurance Company	301607	Agent - Health	2/7/2007	11/16/2011
Inactive	West Coast Life Insurance Company	301607	Agent - Life	2/7/2007	11/16/2011
Inactive	Wilcac Life Insurance Company	301573	Agent - Health	5/8/2001	2/4/2005
Inactive	Wilcac Life Insurance Company	301573	Agent - Life	5/31/2001	2/4/2005
Inactive		300277	Agent - Life	5/20/2003	12/15/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Al Torstrick Insurance Agency, LLC	400026	Agent - Life	2/24/2011
Inactive	Al Torstrick Insurance Agency, LLC	400026	Agent - General Lines	3/18/1971	8/15/2000
Active	Al Torstrick Insurance Agency, LLC	400026	Agent - Health	2/24/2011
Inactive	Al Torstrick Insurance Agency, LLC	400026	Agent - Property	5/1/2023	7/24/2023
Inactive	Al Torstrick Insurance Agency, LLC	400026	Agent - Casualty	8/15/2000	7/24/2023
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	6/25/1996	2/28/2003
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	6/25/1996	2/28/2003
Active	Dental Choice Agency Inc.	398085	Agent - Health	5/7/2002
Active	Designated Agent Company Inc.	681257	Agent - Life	12/12/2013
Active	Designated Agent Company Inc.	681257	Agent - Health	12/12/2013
Active	Diversified Brokerage Specialists Inc.	399027	Agent - Life	3/23/2018
Active	Diversified Brokerage Specialists Inc.	399027	Agent - Health	3/23/2018
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997
Active	Keystone Ins & Benefits Group LLC	716920	Agent - Life	10/14/2011
Active	Keystone Ins & Benefits Group LLC	716920	Agent - Health	10/14/2011
Active	Planchoice Inc.	400482	Agent - Life	10/17/2014
Active	Planchoice Inc.	400482	Agent - Health	10/17/2014
Active	Wealth Preservation & Management Inc	562345	Agent - Life	3/21/2012
Active	Wealth Preservation & Management Inc	562345	Agent - Health	3/21/2012