DEPARTMENT OF INSURANCE
Affiliations
NameBradshaw & Weil Inc.DOIID399982NAIC NPN2013332
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentHealth Maintenance Organization7/15/199111/8/1999 
InactiveResidentAgentHealth4/17/198611/8/1999 
InactiveResidentAgentGeneral Lines3/31/198211/8/1999 
InactiveResidentAgentLife4/17/198611/8/1999 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveACE American Insurance Company300625Agent - General Lines12/13/198211/8/1999
InactiveACE Fire Underwriters Insurance Company301679Agent - General Lines3/31/198211/8/1999
InactiveACE Property and Casualty Insurance Company300520Agent - General Lines3/31/198211/8/1999
InactiveAllianz Life Insurance Company of North America301791Agent - Health8/18/199911/8/1999
InactiveAllianz Life Insurance Company of North America301791Agent - Life8/18/199911/8/1999
InactiveAmerican Alternative Insurance Corporation301697Agent - General Lines5/28/19968/28/1997
InactiveAmerican Economy Insurance Company300315Agent - General Lines12/29/199811/8/1999
InactiveAmerican Equity Investment Life Insurance Company300389Agent - Life5/18/199911/8/1999
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health10/26/199811/8/1999
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life10/26/199811/8/1999
InactiveAmerican Guarantee and Liability Insurance Company301216Agent - General Lines4/13/199511/8/1999
InactiveAmerican States Insurance Company301230Agent - General Lines12/30/199811/8/1999
InactiveAmerican Zurich Insurance Company300592Agent - General Lines4/13/199511/8/1999
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health Maintenance Organization7/15/199111/8/1999
InactiveAnthem Life Insurance Company301209Agent - Health12/14/199311/8/1999
InactiveAnthem Life Insurance Company301209Agent - Life12/14/199311/8/1999
InactiveAssurance Company of America300432Agent - General Lines8/6/199711/8/1999
InactiveAudubon Insurance Company301767Agent - General Lines7/30/199811/8/1999
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - General Lines3/31/198211/8/1999
InactiveBankers Standard Insurance Company301620Agent - General Lines10/16/199211/8/1999
InactiveBaptist Health Plan, Inc.300157Agent - Health Maintenance Organization2/19/199911/8/1999
InactiveBoston Old Colony Insurance Company300720Agent - General Lines9/9/19923/31/1998
InactiveCentury Indemnity Company301310Agent - General Lines1/22/19863/31/1998
InactiveCharter Oak Fire Insurance Company (The)301501Agent - General Lines1/8/199311/8/1999
InactiveChase Insurance Life and Annuity Company300518Agent - Health8/5/199911/8/1999
InactiveChase Insurance Life and Annuity Company300518Agent - Life8/5/199911/8/1999
InactiveCommercial Insurance Company of Newark, New Jersey300328Agent - General Lines7/14/19873/31/1998
InactiveConsolidated American Insurance Company301701Agent - General Lines12/7/19893/31/1996
InactiveContinental Casualty Company301019Agent - Health10/12/199911/8/1999
InactiveContinental Insurance Company (The)301242Agent - General Lines3/31/198211/8/1999
InactiveCredit General Insurance Company301724Agent - General Lines4/20/19998/23/1999
InactiveFalls Lake National Insurance Company301796Agent - General Lines4/18/199611/8/1999
InactiveFarmington Casualty Company301137Agent - General Lines1/15/199011/8/1999
InactiveFidelity Life Association, A Legal Reserve Life Insurance Company300774Agent - Health8/4/199911/8/1999
InactiveFidelity Life Association, A Legal Reserve Life Insurance Company300774Agent - Life8/4/199911/8/1999
InactiveFidelity and Deposit Company of Maryland300976Agent - General Lines4/4/19903/31/1998
InactiveFiremen's Insurance Company of Newark, New Jersey300247Agent - General Lines3/25/19883/31/1998
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Health6/25/199911/8/1999
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Life6/25/199911/8/1999
InactiveGenerali - U.S. Branch301128Agent - General Lines5/18/19933/31/1998
InactiveGlatfelter Insurance Company301640Agent - General Lines8/6/199711/8/1999
InactiveGlens Falls Insurance Company (The)301922Agent - General Lines10/26/198711/8/1999
InactiveGlobe Indemnity Company300507Agent - General Lines5/11/199411/8/1999
InactiveHome Insurance Company (The)301851Agent - General Lines3/15/19883/31/1996
InactiveHumana Health Plan, Inc.300142Agent - Health Maintenance Organization6/18/199811/8/1999
InactiveIndemnity Insurance Company of North America301760Agent - General Lines8/12/198211/8/1999
InactiveInsurance Company of North America300226Agent - General Lines6/30/198211/8/1999
InactiveJewelers Mutual Insurance Company, SI301935Agent - General Lines4/28/198711/8/1999
InactiveKansas City Fire and Marine Insurance Company301936Agent - General Lines3/31/198211/8/1999
InactiveLamorak Insurance Company301231Agent - General Lines2/3/198911/8/1999
InactiveLondon Pacific Life & Annuity Company300371Agent - Life6/29/199911/8/1999
InactiveMaryland Casualty Company301719Agent - General Lines8/21/199711/8/1999
InactiveMidland Life Insurance Company (The)300310Agent - Health11/19/199811/8/1999
InactiveMidland Life Insurance Company (The)300310Agent - Life11/19/199811/8/1999
InactiveNational Casualty Company301483Agent - Health3/22/19883/31/1998
InactiveNational Summit Insurance Company300348Agent - General Lines5/8/199611/8/1999
InactiveNational Union Fire Insurance Company of Louisiana301132Agent - General Lines7/30/199811/8/1999
InactiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - General Lines2/12/199311/8/1999
InactiveNorthern Insurance Company of New York301317Agent - General Lines8/6/199711/8/1999
InactiveOld Republic Insurance Company301225Agent - General Lines7/10/199711/8/1999
InactivePacific Employers Insurance Company301753Agent - General Lines8/11/198311/8/1999
InactivePenn Treaty Network America Insurance Company301297Agent - Health6/10/199911/8/1999
InactivePenn Treaty Network America Insurance Company301297Agent - Life6/10/199911/8/1999
InactivePioneer Life Insurance Company300110Agent - Health3/10/199911/8/1999
InactivePioneer Life Insurance Company300110Agent - Life3/10/199911/8/1999
InactivePrincipal Life Insurance Company300129Agent - Health4/17/198611/8/1999
InactivePrincipal Life Insurance Company300129Agent - Life4/17/198611/8/1999
InactiveProgressive Max Insurance Company301034Agent - General Lines8/30/199911/8/1999
InactiveProgressive Northern Insurance Company301378Agent - General Lines8/30/199911/8/1999
InactiveProgressive Northwestern Insurance Company300441Agent - General Lines8/30/199911/8/1999
InactiveReassure America Life Insurance Company301902Agent - Health12/29/199811/8/1999
InactiveReassure America Life Insurance Company301902Agent - Life12/29/199811/8/1999
InactiveSAFECO Insurance Company of America300159Agent - General Lines9/16/199711/8/1999
InactiveSecurity-Connecticut Life Insurance Company300316Agent - Health12/17/199611/8/1999
InactiveSecurity-Connecticut Life Insurance Company300316Agent - Life12/17/199611/8/1999
InactiveShelby Casualty Insurance Company301806Agent - General Lines3/19/19913/31/1998
InactiveSouth Carolina Insurance Company300080Agent - General Lines9/27/19893/31/1999
InactiveSt. Paul Fire and Marine Insurance Company300782Agent - General Lines4/22/199211/8/1999
InactiveStandard Fire Insurance Company (The)301068Agent - General Lines3/31/198211/8/1999
InactiveThe Phoenix Insurance Company301502Agent - General Lines1/8/199311/8/1999
InactiveTravelers Casualty Company of Connecticut301505Agent - General Lines1/24/199111/8/1999
InactiveTravelers Casualty Insurance Company of America300522Agent - General Lines2/16/198411/8/1999
InactiveTravelers Casualty and Surety Company301067Agent - General Lines3/31/198211/8/1999
InactiveTravelers Casualty and Surety Company of America301334Agent - General Lines1/25/199111/8/1999
InactiveTravelers Commercial Insurance Company301506Agent - General Lines1/24/199111/8/1999
InactiveTravelers Constitution State Insurance Company300575Agent - General Lines10/2/199811/8/1999
InactiveTravelers Indemnity Company (The)301855Agent - General Lines1/8/199311/8/1999
InactiveTravelers Indemnity Company of America (The)301093Agent - General Lines1/8/199311/8/1999
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - General Lines1/8/199311/8/1999
InactiveTravelers Property Casualty Company of America301649Agent - General Lines1/8/199311/8/1999
InactiveU.S. Financial Life Insurance Company301812Agent - Health6/28/199911/8/1999
InactiveU.S. Financial Life Insurance Company301812Agent - Life6/28/199911/8/1999
InactiveUSG Annuity & Life Company300457Agent - Life2/19/199911/8/1999
InactiveUnitedHealthcare Insurance Company300946Agent - Health4/20/199911/8/1999
InactiveUnitedHealthcare Insurance Company300946Agent - Life4/20/199911/8/1999
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health Maintenance Organization4/7/199911/8/1999
InactiveWestern Surety Company300283Agent - General Lines1/30/198511/8/1999
InactiveWestport Insurance Corporation301875Agent - General Lines3/31/198211/8/1999
InactiveWestport Insurance Corporation300448Agent - General Lines8/16/199911/8/1999
InactiveWilco Life Insurance Company300122Agent - Life9/30/199911/8/1999
InactiveWindhaven National Insurance Company300094Agent - General Lines9/27/199311/8/1999
InactiveZurich American Insurance Company301121Agent - General Lines4/13/199511/8/1999
InactiveZurich American Insurance Company of Illinois301805Agent - General Lines4/13/199511/8/1999
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveArison Insurance Services, Inc.401001Agent - Health2/25/199911/8/1999
InactiveArison Insurance Services, Inc.401001Agent - Life2/25/199911/8/1999
InactiveBaker, Sean Frederick 346287Agent - Health3/5/199911/8/1999
InactiveBaker, Sean Frederick 346287Agent - Life3/5/199911/8/1999
InactiveBrewer, Janis Rene 335755Agent - General Lines5/6/199611/8/1999
InactiveCass, E Suzann 372255Agent - General Lines3/5/199911/8/1999
InactiveChampion, Marland Andrew 314598Agent - General Lines1/4/19884/30/1998
InactiveChampion, Marland Andrew 314598Agent - Health1/4/19884/30/1998
InactiveChampion, Marland Andrew 314598Agent - Life1/4/19884/30/1998
InactiveClaiborne, Mary A 319038Agent - General Lines5/6/19965/15/1997
InactiveDunaway, Lisa Dawn 330835Agent - General Lines3/5/199911/8/1999
InactiveGann, Ray W 391320Agent - General Lines4/29/19963/2/1998
InactiveGann, Ray W 391320Agent - Health4/29/19963/2/1998
InactiveGann, Ray W 391320Agent - Life4/29/19963/2/1998
InactiveKellner, Roger L 342462Agent - General Lines4/29/199611/8/1999
InactiveKissiar, Donna Renee 357189Agent - General Lines5/6/199610/21/1997
InactiveMorgan, Billy Brandon 345358Agent - General Lines3/5/199911/8/1999
InactiveMorgan, Brandon W 367830Agent - General Lines4/29/199611/8/1999
InactiveMorgan, Brandon W 367830Agent - Health4/29/199611/8/1999
InactiveMorgan, Brandon W 367830Agent - Life4/29/199611/8/1999
InactiveMorgan, Phillip Hatler 326784Agent - General Lines3/5/199911/8/1999
InactiveMorgan, Phillip Hatler 326784Agent - Health3/5/199911/8/1999
InactiveMorgan, Phillip Hatler 326784Agent - Life3/5/199911/8/1999
InactiveRomaine, Helen Smith 368416Agent - General Lines3/5/199911/8/1999
InactiveRomaine, Helen Smith 368416Agent - Health3/5/199911/8/1999
InactiveRomaine, Helen Smith 368416Agent - Life3/5/199911/8/1999
InactiveTandy, Roger Phillip 356683Agent - General Lines4/29/19963/5/1999
InactiveThompson, Denise 363905Agent - General Lines3/5/199911/8/1999
InactiveWest Kentucky Group Benefits401049Agent - Health10/17/199111/8/1999
InactiveWest Kentucky Group Benefits401049Agent - Life10/17/199111/8/1999
InactiveWright, Esther Marie 325917Agent - General Lines3/5/199911/8/1999
InactiveYoung, J William 308781Agent - General Lines10/3/19773/3/1997

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