DEPARTMENT OF INSURANCE
Affiliations
NameEllard, Brian MarkDOIID566702NAIC NPN565928
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
DeniedResidentAdministratorNot Applicable   
InactiveNon ResidentAgentHealth3/27/20031/31/2021 
InactiveNon ResidentAgentLife3/27/20031/31/2021 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveNational Teachers Associates Life Insurance Company300107Agent - Health3/27/20036/30/2019
InactiveNational Teachers Associates Life Insurance Company300107Agent - Life3/27/20036/30/2019
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveHorace Mann General Agency Corporation898360Agent - Health11/13/20156/30/2019
InactiveHorace Mann General Agency Corporation898360Agent - Life11/13/20156/30/2019
InactiveNational Teacher Associates of Kentucky Inc.399320Agent - Health7/18/20033/31/2016
InactiveNational Teacher Associates of Kentucky Inc.399320Agent - Life7/18/20033/31/2016

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