DEPARTMENT OF INSURANCE
Affiliations
NameB.R.& W. Insurance CorpDOIID399500NAIC NPN7221706
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentHealth Maintenance Organization9/15/19953/1/2001 
Pending ReplacementResidentAgentLife6/8/2023 3/31/2025
Pending ReplacementResidentAgentHealth6/8/2023 3/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202503/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAF&L Insurance Company301582Agent - Health8/9/199911/1/2006
InactiveAccendo Insurance Company300312Agent - Life6/10/20203/31/2023
InactiveAetna Health and Life Insurance Company300523Agent - Health5/22/20183/31/2023
InactiveAmerican Benefit Life Insurance Company301002Agent - Life10/2/19956/12/1998
InactiveAmerican Continental Insurance Company643130Agent - Health8/21/200711/12/2014
InactiveAmerican Continental Insurance Company643130Agent - Life8/21/200711/12/2014
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health9/5/201211/20/2013
InactiveAmerican Republic Insurance Company300861Agent - Health1/29/199112/21/1998
InactiveAmerican Republic Insurance Company300861Agent - Life1/29/199112/21/1998
InactiveAmerican Retirement Life Insurance Company706303Agent - Health5/14/201312/21/2018
InactiveAmerican Retirement Life Insurance Company706303Agent - Life5/14/201312/21/2018
InactiveAmerico Financial Life and Annuity Insurance Company300869Agent - Health4/10/200310/31/2006
InactiveAmerico Financial Life and Annuity Insurance Company300869Agent - Life4/10/200310/31/2006
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health3/1/20013/31/2023
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health Maintenance Organization9/15/19953/1/2001
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health9/23/20213/31/2023
InactiveAnthem Insurance Companies, Inc.300941Agent - Health6/12/20213/31/2023
InactiveAnthem Life Insurance Company301209Agent - Health9/20/19953/31/2023
InactiveAnthem Life Insurance Company301209Agent - Life9/20/19953/31/2023
InactiveBankers Life Insurance Company301784Agent - Health5/17/20001/27/2003
InactiveBankers Life Insurance Company301784Agent - Life5/17/20001/27/2003
InactiveBankers United Life Assurance Company300296Agent - Health2/6/199512/31/2001
InactiveBankers United Life Assurance Company300296Agent - Life2/6/199512/31/2001
InactiveBaptist Health Plan, Inc.300157Agent - Health3/1/20013/31/2019
InactiveBaptist Health Plan, Inc.300157Agent - Health Maintenance Organization12/7/19983/1/2001
InactiveCIGNA Health & Life Insurance Company301783Agent - Health1/9/20143/31/2023
InactiveCIGNA Health & Life Insurance Company301783Agent - Life1/9/20143/31/2023
InactiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/20/20225/22/2023
InactiveCentennial Life Insurance Company (The)301561Agent - Health3/12/19963/31/1997
InactiveCentennial Life Insurance Company (The)301561Agent - Life3/12/19963/31/1997
InactiveCentral States Health and Life Company of Omaha301874Agent - Health1/29/20011/29/2003
InactiveCentral States Health and Life Company of Omaha301874Agent - Life1/29/20011/29/2003
InactiveCentral States Indemnity Company of Omaha300285Agent - Health2/20/201212/28/2012
InactiveCombined Insurance Company of America301472Agent - Health3/21/20135/18/2020
InactiveCompcare Health Services Insurance Corporation948751Agent - Health9/25/20213/31/2023
InactiveConnecticut General Life Insurance Company301333Agent - Health11/6/20086/11/2014
InactiveConseco Health Insurance Company301725Agent - Health9/6/20004/24/2007
InactiveConseco Health Insurance Company301725Agent - Life9/6/20004/24/2007
InactiveConseco Insurance Company301202Agent - Health11/30/200410/1/2010
InactiveConseco Insurance Company301202Agent - Life11/30/200410/1/2010
InactiveContinental Casualty Company301019Agent - Health9/12/199511/29/2004
InactiveContinental General Insurance Company300691Agent - Health10/28/200312/6/2006
InactiveContinental General Insurance Company300691Agent - Life10/28/200312/6/2006
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health8/11/20063/31/2023
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life8/11/20065/20/2016
InactiveDelaware Life Insurance Company301256Agent - Life12/31/200310/3/2007
InactiveFidelity & Guaranty Life Insurance Company301359Agent - Life6/27/20022/24/2004
InactiveFirst Colony Life Insurance Company301179Agent - Life6/22/19991/1/2007
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Health3/23/200112/12/2008
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Life3/23/200112/12/2008
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life1/1/200712/4/2007
InactiveGovernment Personnel Mutual Life Insurance Company301862Agent - Health6/2/201012/26/2012
InactiveGovernment Personnel Mutual Life Insurance Company301862Agent - Life6/2/201012/26/2012
InactiveHumana Health Plan, Inc.300142Agent - Health3/1/20019/13/2002
InactiveHumana Health Plan, Inc.300142Agent - Health Maintenance Organization12/28/19983/1/2001
InactiveHumana Insurance Company301104Agent - Health12/28/19989/13/2002
InactiveHumana Insurance Company301104Agent - Life12/28/19989/13/2002
InactiveJohn Hancock Life Insurance Company300821Agent - Health10/14/200312/30/2009
InactiveJohn Hancock Life Insurance Company300821Agent - Life10/14/200312/30/2009
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health9/19/20083/31/2023
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life9/19/20083/31/2023
InactiveKentucky Home Life Insurance Company300477Agent - Health6/27/200312/31/2003
InactiveKentucky Home Life Insurance Company300477Agent - Life6/27/200312/31/2003
InactiveKeyport Life Insurance Company300319Agent - Life4/16/200312/31/2003
InactiveLife Investors Insurance Company of America301793Agent - Health12/31/20018/24/2005
InactiveLife Investors Insurance Company of America301793Agent - Life12/31/20018/24/2005
InactiveLoyal American Life Insurance Company301172Agent - Health5/2/200312/14/2010
InactiveLoyal American Life Insurance Company301172Agent - Life5/2/200312/14/2010
InactiveMutual of Omaha Insurance Company301012Agent - Health3/15/19967/15/2002
InactiveNational Guardian Life Insurance Company300596Agent - Health7/22/200312/30/2013
InactiveNational Guardian Life Insurance Company300596Agent - Life7/22/200312/30/2013
InactiveNorth American Company for Life and Health Insurance300291Agent - Life3/31/200310/18/2005
InactivePacifiCare Life and Health Insurance Company301304Agent - Health2/15/200811/5/2011
InactivePacifiCare Life and Health Insurance Company301304Agent - Life2/15/20087/17/2012
InactivePenn Treaty Network America Insurance Company301297Agent - Health6/1/20046/22/2005
InactivePenn Treaty Network America Insurance Company301297Agent - Life6/1/20046/22/2005
InactivePioneer Life Insurance Company300110Agent - Health1/14/19978/20/2003
InactivePioneer Life Insurance Company300110Agent - Life1/14/19978/20/2003
InactiveProvident American Life & Health Insurance Company300413Agent - Health10/28/200511/28/2008
InactiveProvident American Life & Health Insurance Company300413Agent - Life10/28/200511/28/2008
InactiveSenior Health Insurance Company of Pennsylvania300251Agent - Health11/4/19867/18/2003
InactiveSenior Health Insurance Company of Pennsylvania300251Agent - Life11/4/19867/18/2003
InactiveShenandoah Life Insurance Company300130Agent - Health7/18/20063/31/2009
InactiveShenandoah Life Insurance Company300130Agent - Life7/18/20069/15/2007
InactiveSouthwestern Life Insurance Company301343Agent - Health1/14/19987/11/2000
InactiveSouthwestern Life Insurance Company301343Agent - Life1/14/19987/11/2000
InactiveStandard Life and Accident Insurance Company301534Agent - Health11/18/19995/23/2007
InactiveStandard Life and Accident Insurance Company301534Agent - Life11/18/19995/23/2007
InactiveUnited American Insurance Company300910Agent - Health7/26/198512/31/1998
InactiveUnited American Insurance Company300910Agent - Life7/26/198512/31/1998
InactiveUnited Teacher Associates Insurance Company300747Agent - Health11/1/20022/18/2011
InactiveUnited Teacher Associates Insurance Company300747Agent - Life11/1/20022/18/2011
InactiveUnitedHealthcare Insurance Company300946Agent - Health2/15/20085/22/2023
InactiveUnitedHealthcare Insurance Company300946Agent - Life2/15/20083/31/2023
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health9/16/201612/20/2018
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health8/5/201912/22/2022
InactiveUnitedHealthcare Life Insurance Company301517Agent - Health10/10/19953/31/1997
InactiveUnitedHealthcare Life Insurance Company301517Agent - Life10/10/19953/31/1997
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health7/15/201812/23/2021
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health8/2/201112/5/2016
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health9/13/20155/22/2023
InactiveUnity Financial Life Insurance Company301054Agent - Life12/18/20037/25/2007
InactiveWashington National Insurance Company300587Agent - Health10/1/201011/3/2012
InactiveWashington National Insurance Company300587Agent - Life10/1/201011/3/2012
InactiveWellpoint Life and Health Insurance Company300469Agent - Health8/27/19993/31/2023
InactiveWellpoint Life and Health Insurance Company300469Agent - Life8/27/19993/31/2023
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAcordia of Western Kentucky Inc.401302Agent - Health8/30/199512/31/2001
InactiveAcordia of Western Kentucky Inc.401302Agent - Life8/30/199512/31/2001
InactiveArison Insurance Services, Inc.401001Agent - Health8/24/199912/31/2001
InactiveArison Insurance Services, Inc.401001Agent - Life8/24/199912/31/2001
InactiveBrock, Stephen C 380804Agent - Health7/7/19971/30/2004
InactiveBrock, Stephen C 380804Agent - Life7/7/19971/30/2004
InactiveClarke, Charles Jordan 313710Agent - Health3/14/19953/31/2023
InactiveClarke, Charles Jordan 313710Agent - Life3/14/19953/31/2023
InactiveClarke, Stephen Rogers 318487Agent - Health8/7/199512/1/2015
InactiveClarke, Stephen Rogers 318487Agent - Life8/7/199512/1/2015
InactiveCole, Franklin Delano 368567Agent - Health6/4/19928/1/2016
InactiveCole, Franklin Delano 368567Agent - Life6/4/19928/1/2016
InactiveCoulter, Glynda L 331594Agent - Health2/17/19993/1/2006
InactiveCoulter, Glynda L 331594Agent - Life2/17/19993/1/2006
InactiveCreek, Cheryl Lynn 342204Agent - Health12/11/19912/18/2003
InactiveCreek, Cheryl Lynn 342204Agent - Life12/11/19912/18/2003
InactiveFeezor, Rex Alan 384966Agent - Health6/8/20234/30/2024
InactiveFeezor, Rex Alan 384966Agent - Life6/8/20234/30/2024
InactiveGrace, Gary Gene 341356Agent - Health11/7/19853/31/2023
InactiveGrace, Gary Gene 341356Agent - Life11/7/19853/31/2023
InactiveGregory, James Edward 309625Agent - Health1/22/20012/1/2009
InactiveGregory, James Edward 309625Agent - Life1/22/20012/1/2009
InactiveHammond, Orian Boyd 314137Agent - Health6/24/19913/31/2023
InactiveHammond, Orian Boyd 314137Agent - Life6/24/19913/31/2023
InactiveHoehn, Wayne Charles 317727Agent - Health7/26/19853/1/2020
InactiveHoehn, Wayne Charles 317727Agent - Life7/26/19853/1/2020
InactiveHughes, Dorothy Diane 344414Agent - Health2/6/19957/1/2013
InactiveHughes, Dorothy Diane 344414Agent - Life2/6/19957/1/2013
InactiveJordan, Glen R 333125Agent - Health3/30/20013/31/2023
InactiveJordan, Glen R 333125Agent - Life3/30/20013/31/2023
InactivePetty, Pamela S 522633Agent - Health6/23/20107/1/2019
InactivePetty, Pamela S 522633Agent - Life6/23/20107/1/2019
InactiveRickman, Murrell D 351683Agent - Health7/13/199210/18/2004
InactiveRickman, Murrell D 351683Agent - Life7/13/199210/18/2004
InactiveSayre, David Grant 377937Agent - Life7/14/20001/16/2002
InactiveWest Kentucky Group Benefits401049Agent - Health3/5/199212/31/2001
InactiveWest Kentucky Group Benefits401049Agent - Life3/5/199212/31/2001

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