DEPARTMENT OF INSURANCE

Affiliations

Name	Will, Brian S	DOIID	511843	NAIC NPN	1964458

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	12/30/2015	6/30/2019
Inactive	Non Resident	Agent	Life	12/30/2015	6/30/2019
* 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	Aetna Health Inc.	300694	Agent - Health	8/30/2006	12/31/2007
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	12/31/2007	6/30/2013
Inactive	Aetna Life Insurance Company	301140	Agent - Health	8/30/2006	6/30/2013
Inactive	Aetna Life Insurance Company	301140	Agent - Life	8/30/2006	6/30/2013
Inactive	Anthem Life Insurance Company	301209	Agent - Health	1/7/2016	11/3/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Life	1/7/2016	11/3/2016
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Health	3/28/2006	7/12/2010
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	3/28/2006	7/12/2010
Inactive	Banner Life Insurance Company	301696	Agent - Life	6/12/2003	12/22/2008
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	9/18/2003	4/1/2007
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	2/22/2016	3/3/2017
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	2/22/2016	3/3/2017
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/17/2008	1/18/2012
Inactive	CompBenefits Insurance Company	301864	Agent - Health	10/17/2008	1/18/2012
Inactive	CompBenefits Insurance Company	301864	Agent - Life	10/17/2008	1/18/2012
Inactive	Continental General Insurance Company	300691	Agent - Health	3/18/2002	11/18/2004
Inactive	Continental General Insurance Company	300691	Agent - Life	3/18/2002	11/18/2004
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	1/18/2012
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	5/12/2008	6/30/2013
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Health	6/24/2003	12/26/2008
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	6/24/2003	12/26/2008
Inactive	Golden Rule Insurance Company	301943	Agent - Health	12/5/2006	6/30/2013
Inactive	Golden Rule Insurance Company	301943	Agent - Life	12/5/2006	6/30/2013
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/17/2008	1/18/2012
Inactive	Humana Insurance Company	301104	Agent - Health	2/18/2008	1/18/2012
Inactive	Humana Insurance Company	301104	Agent - Life	2/18/2008	1/18/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/17/2008	1/18/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/17/2008	1/18/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Health	10/17/2008	1/18/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	10/17/2008	1/18/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/17/2008	1/18/2012
Inactive	Kanawha Insurance Company	300127	Agent - Life	10/17/2008	1/18/2012
Inactive	Liberty Life Insurance Company	301542	Agent - Health	6/1/2004	6/30/2006
Inactive	Liberty Life Insurance Company	301542	Agent - Life	6/1/2004	6/30/2006
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	9/29/2003	10/24/2007
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	9/29/2003	10/24/2007
Inactive	Loyal American Life Insurance Company	301172	Agent - Life	7/11/2002	5/20/2004
Inactive	Protective Life Insurance Company	300638	Agent - Life	4/1/2007	12/28/2009
Inactive	Security Life Insurance Company of America	300936	Agent - Health	5/31/2007	3/24/2009
Inactive	Security Life Insurance Company of America	300936	Agent - Life	5/31/2007	3/24/2009
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Health	10/24/2006	6/30/2013
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Life	10/24/2006	6/30/2013
Inactive	Time Insurance Company	300683	Agent - Health	1/4/2013	6/13/2013
Inactive	Time Insurance Company	300683	Agent - Life	1/4/2013	6/13/2013
Inactive	United States Fire Insurance Company	582240	Agent - Health	1/6/2009	4/7/2009
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	4/28/2006	8/30/2013
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	4/28/2006	8/30/2013
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	4/15/2002	12/8/2005
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	4/15/2002	12/8/2005
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	4/28/2006	8/30/2013
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	4/28/2006	8/30/2013
Inactive	West Coast Life Insurance Company	301607	Agent - Life	6/9/2003	12/29/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	1/12/2016	3/3/2017
Inactive	Designated Agent Company Inc.	681257	Agent - Health	1/12/2016	3/3/2017
Inactive	Premier Financial Group LLC	653301	Agent - Life	6/20/2007	3/31/2011
Inactive	Premier Financial Group LLC	653301	Agent - Health	6/20/2007	3/31/2011