DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Donnelly, Brian James	DOIID	514326	NAIC NPN	3651424

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	9/1/2000	12/31/2021
Inactive	Non Resident	Agent	Casualty	6/15/2016	12/31/2021
Inactive	Non Resident	Agent	Property	6/15/2016	12/31/2021
Inactive	Non Resident	Agent	Health	9/1/2000	12/31/2021
* 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 Health Plans of Kentucky, Inc.	300999	Agent - Health	8/16/2021	12/31/2021
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/26/2021	12/31/2021
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/26/2021	12/31/2021
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	12/2/2014	12/15/2016
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/26/2021	12/31/2021
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	12/2/2014	12/15/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	12/2/2014	12/15/2016
Inactive	Humana Insurance Company	301104	Agent - Health	12/2/2014	12/15/2016
Inactive	Humana Insurance Company	301104	Agent - Life	12/2/2014	12/15/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	12/2/2014	12/15/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	12/2/2014	12/15/2016
Inactive	Kanawha Insurance Company	300127	Agent - Health	12/2/2014	11/3/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	12/2/2014	11/3/2015
Inactive	Prudential Insurance Company of America	300784	Agent - Health	9/1/2000	9/4/2013
Inactive	Prudential Insurance Company of America	300784	Agent - Life	9/1/2000	9/4/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Brown & Brown of Tennessee Inc	534534	Agent - Life	10/26/2011	9/4/2013
Inactive	Brown & Brown of Tennessee Inc	534534	Agent - Health	10/26/2011	9/4/2013
Inactive	Mcgriff Insurance Services, LLC	400877	Agent - Life	8/25/2014	11/5/2014
Inactive	Mcgriff Insurance Services, LLC	400877	Agent - Health	8/25/2014	11/5/2014