DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Short, Brian David	DOIID	525608	NAIC NPN	1590774

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	5/1/2001	5/31/2017
Inactive	Non Resident	Agent	Health	5/1/2001	5/31/2017
Inactive	Non Resident	Agent	Property	4/3/2003	5/31/2017
Inactive	Non Resident	Agent	Casualty	4/3/2003	5/31/2017
* 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	Peoples Benefit Life Insurance Company	301895	Agent - Health	5/1/2001	10/1/2007
Inactive	Peoples Benefit Life Insurance Company	301895	Agent - Life	5/1/2001	10/1/2007
Inactive	Stonebridge Life Insurance Company	301614	Agent - Health	10/4/2001	10/1/2015
Inactive	Stonebridge Life Insurance Company	301614	Agent - Life	10/4/2001	10/1/2015
Inactive	Transamerica Casualty Insurance Company	300311	Agent - Casualty	8/26/2004	2/21/2007
Inactive	Transamerica Casualty Insurance Company	300311	Agent - Property	8/26/2004	2/21/2007
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	10/1/2015	5/31/2017
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	10/1/2015	5/31/2017
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	10/1/2007	5/31/2017
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	10/1/2007	5/31/2017
Inactive	Veterans Life Insurance Company	300589	Agent - Health	6/30/2006	7/1/2007
Inactive	Veterans Life Insurance Company	300589	Agent - Life	6/30/2006	7/1/2007
Inactive	Work First Casualty Company	300561	Agent - Casualty	4/16/2003	7/6/2005
Inactive	Work First Casualty Company	300561	Agent - Property	4/16/2003	7/6/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aegon Direct Marketing Services, Inc.	502873	Agent - Life	3/28/2016	5/31/2017
Inactive	Aegon Direct Marketing Services, Inc.	502873	Agent - Health	3/28/2016	5/31/2017
Inactive	Buena Sombra Insurance Agency, Inc.	509452	Agent - Life	7/16/2001	3/5/2007
Inactive	Buena Sombra Insurance Agency, Inc.	509452	Agent - Health	7/16/2001	3/5/2007
Inactive	Buena Sombra Insurance Agency, Inc.	509452	Agent - Casualty	4/15/2003	2/21/2007
Inactive	Buena Sombra Insurance Agency, Inc.	509452	Agent - Property	4/15/2003	2/21/2007
Inactive	Insurance Agency for the American Working Family, Inc. (The)	598530	Agent - Life	12/6/2004	3/2/2007
Inactive	Insurance Agency for the American Working Family, Inc. (The)	598530	Agent - Health	12/6/2004	3/2/2007