DEPARTMENT OF INSURANCE

Affiliations

Name	Uptain, Brian Taylor	DOIID	511473	NAIC NPN	7214113

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	5/31/2005
Inactive	Resident	Agent	Life	11/16/2006	6/1/2011
Inactive	Resident	Agent	Casualty	11/16/2006	6/1/2011
Inactive	Resident	Agent	Credit Life & Health	4/26/2000	8/7/2000
Inactive	Resident	Agent	Variable Life and Variable Annuities	6/5/2008	6/1/2011
Inactive	Resident	Agent	Health	11/16/2006	6/1/2011
Inactive	Resident	Agent	Property	11/16/2006	6/1/2011
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	2/13/2007	2/12/2010
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	2/13/2007	2/12/2010
Inactive	Allstate Indemnity Company	300778	Agent - Casualty	11/20/2006	5/12/2011
Inactive	Allstate Indemnity Company	300778	Agent - Property	11/20/2006	5/12/2011
Inactive	Allstate Insurance Company	300773	Agent - Casualty	11/20/2006	5/12/2011
Inactive	Allstate Insurance Company	300773	Agent - Property	11/20/2006	5/12/2011
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	11/20/2006	5/12/2011
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Property	11/20/2006	5/12/2011
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	11/28/2006	6/1/2011
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	11/28/2006	6/1/2011
Inactive	Assurity Life Insurance Company	301099	Agent - Health	2/5/2007	6/1/2011
Inactive	Assurity Life Insurance Company	301099	Agent - Life	2/5/2007	6/1/2011
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	8/18/2010	6/1/2011
Inactive	Consolidated Insurance Company	300943	Agent - Property	8/18/2010	6/1/2011
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	9/8/2010
Inactive	Everlake Life Insurance Company	300873	Agent - Health	11/20/2006	5/12/2011
Inactive	Everlake Life Insurance Company	300873	Agent - Life	11/20/2006	5/12/2011
Inactive	Everlake Life Insurance Company	300873	Agent - Variable Life and Variable Annuities	6/12/2008	5/12/2011
Inactive	First National Insurance Company of America	301690	Agent - Casualty	8/18/2010	6/1/2011
Inactive	First National Insurance Company of America	301690	Agent - Property	8/18/2010	6/1/2011
Inactive	Fortitude Life Insurance & Annuity Company	301503	Agent - Life	6/11/2008	6/1/2011
Inactive	Fortitude Life Insurance & Annuity Company	301503	Agent - Variable Life and Variable Annuities	6/11/2008	6/1/2011
Inactive	General Insurance Company of America	300261	Agent - Casualty	8/18/2010	6/1/2011
Inactive	General Insurance Company of America	300261	Agent - Property	8/18/2010	6/1/2011
Inactive	Golden Rule Insurance Company	301943	Agent - Health	6/20/2007	6/1/2011
Inactive	Golden Rule Insurance Company	301943	Agent - Life	6/20/2007	6/1/2011
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	6/21/2007	9/8/2010
Inactive	Humana Insurance Company	301104	Agent - Health	6/21/2007	9/8/2010
Inactive	Humana Insurance Company	301104	Agent - Life	6/21/2007	9/8/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	6/21/2007	9/8/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	6/21/2007	9/8/2010
Inactive	HumanaDental Insurance Company	301457	Agent - Health	6/21/2007	9/8/2010
Inactive	HumanaDental Insurance Company	301457	Agent - Life	6/21/2007	9/8/2010
Inactive	Indiana Insurance Company	301909	Agent - Casualty	8/18/2010	6/1/2011
Inactive	Indiana Insurance Company	301909	Agent - Property	8/18/2010	6/1/2011
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	2/7/2007	5/22/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	2/7/2007	5/22/2009
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	2/7/2007	11/9/2009
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	2/7/2007	11/9/2009
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit		5/31/2005
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	11/20/2006	5/12/2011
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	11/20/2006	5/12/2011
Inactive	Lincoln Benefit Life Company	301110	Agent - Variable Life and Variable Annuities	6/12/2008	5/12/2011
Inactive	MedAmerica Insurance Company	301568	Agent - Health	1/30/2007	12/7/2009
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	2/6/2007	11/26/2009
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	2/6/2007	11/26/2009
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	8/18/2010	6/1/2011
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	8/18/2010	6/1/2011
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	8/18/2010	6/1/2011
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	8/18/2010	6/1/2011
Inactive	Peerless Insurance Company	301910	Agent - Casualty	8/18/2010	6/1/2011
Inactive	Peerless Insurance Company	301910	Agent - Property	8/18/2010	6/1/2011
Inactive	Principal Life Insurance Company	300129	Agent - Health	2/9/2007	12/12/2008
Inactive	Principal Life Insurance Company	300129	Agent - Life	2/9/2007	12/12/2008
Inactive	Pruco Life Insurance Company	300954	Agent - Health	4/30/2010	6/1/2011
Inactive	Pruco Life Insurance Company	300954	Agent - Life	4/30/2010	6/1/2011
Inactive	Pruco Life Insurance Company	300954	Agent - Variable Life and Variable Annuities	4/30/2010	6/1/2011
Inactive	Prudential Insurance Company of America	300784	Agent - Health	2/8/2007	6/1/2011
Inactive	Prudential Insurance Company of America	300784	Agent - Life	2/8/2007	6/1/2011
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	8/18/2010	6/1/2011
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	8/18/2010	6/1/2011
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	8/18/2010	6/1/2011
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	8/18/2010	6/1/2011
Inactive	Southern Financial Life Insurance Company	300664	Agent - Credit Life & Health	4/26/2000	8/7/2000
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	8/7/2000	3/31/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Brian Uptain Insurance Agency, Inc.	645426	Agent - Casualty	12/11/2006	6/1/2011
Inactive	Brian Uptain Insurance Agency, Inc.	645426	Agent - Property	12/11/2006	6/1/2011
Inactive	Brian Uptain Insurance Agency, Inc.	645426	Agent - Health	12/11/2006	6/1/2011
Inactive	Brian Uptain Insurance Agency, Inc.	645426	Agent - Life	12/11/2006	6/1/2011
Inactive	Two M Co. Inc.	400707	Agent - Limited Line Credit	1/30/2004	5/31/2005