DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	06/15/2025	08/31/2025

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