DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Southern, Bret Thomas	DOIID	388061	NAIC NPN	7208103

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	8/17/1994	7/1/1998
Inactive	Resident	Agent	Health	8/17/1994	7/1/1998
* 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	Anthem Life Insurance Company	301209	Agent - Health	4/1/1996	7/1/1998
Inactive	Anthem Life Insurance Company	301209	Agent - Life	4/1/1996	7/1/1998
Inactive	Continental Casualty Company	301019	Agent - Health	11/12/1996	7/1/1998
Inactive	Golden Rule Insurance Company	301943	Agent - Health	6/8/1995	3/31/1997
Inactive	Golden Rule Insurance Company	301943	Agent - Life	6/8/1995	3/31/1997
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Health	8/17/1994	1/23/1997
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Life	8/17/1994	1/23/1997

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acordia Senior of The Southeast Inc.	401297	Agent - Life	2/26/1996	7/1/1998
Inactive	Acordia Senior of The Southeast Inc.	401297	Agent - Health	2/26/1996	7/1/1998
Inactive	Acordia of Western Kentucky Inc.	401302	Agent - Life	3/11/1996	7/1/1998
Inactive	Acordia of Western Kentucky Inc.	401302	Agent - Health	3/11/1996	7/1/1998