DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Green, Bradley D	DOIID	535349	NAIC NPN	680543

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	1/10/2011		8/31/2025
Active	Non Resident	Agent	Health	8/10/2001		8/31/2025
* 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	Dental Choice, Inc.	301702	Agent - Health	8/10/2001	12/29/2003
Active	Thrivent Financial for Lutherans	301101	Agent - Health	6/4/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Conover Ins Services LLC	745276	Agent - Health
Denied	Conover Ins Services LLC	745276	Agent - Life