DEPARTMENT OF INSURANCE

Affiliations

Name	Brothers, Brad	DOIID	526382	NAIC NPN	654539

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	10/5/2011	11/7/2012
Inactive	Non Resident	Agent	Health	10/5/2011	11/7/2012
* 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	American Bankers Life Assurance Company of Florida	300171	Agent - Health	5/21/2001	6/13/2008
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Life	5/21/2001	6/13/2008
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	10/12/2011	11/7/2012
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	10/12/2011	11/7/2012
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Health	9/4/2001	12/31/2008
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Life	9/4/2001	12/31/2008
Inactive	Central States Health and Life Company of Omaha	301874	Agent - Health	10/1/2001	4/27/2006
Inactive	HM Life Insurance Company	301408	Agent - Health	12/1/2006	12/31/2008
Inactive	HM Life Insurance Company	301408	Agent - Life	12/1/2006	12/31/2008
Inactive	Kanawha Insurance Company	300127	Agent - Health	8/8/2005	12/31/2008
Inactive	Kanawha Insurance Company	300127	Agent - Life	8/8/2005	12/31/2008
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	10/12/2011	11/7/2012
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	10/12/2011	11/7/2012
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	7/23/2001	12/31/2008
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	7/23/2001	12/31/2008
Inactive	ReliaStar Life Insurance Company of New York	301018	Agent - Health	7/23/2001	6/25/2008
Inactive	ReliaStar Life Insurance Company of New York	301018	Agent - Life	7/23/2001	6/25/2008
Inactive	Trustmark Insurance Company	300317	Agent - Health	6/19/2005	12/31/2008
Inactive	Trustmark Insurance Company	300317	Agent - Life	6/19/2005	12/31/2008
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	10/12/2011	11/7/2012
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	10/12/2011	11/7/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	The Farmington Company	534046	Agent - Health	1/5/2004	12/31/2008
Inactive	The Farmington Company	534046	Agent - Life	1/5/2004	12/31/2008