DEPARTMENT OF INSURANCE

Affiliations

Name	Brumfield Jr, John Willis	DOIID	568731	NAIC NPN	7680245

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Property	7/11/2006	11/30/2026
Active	Resident	Agent	Limited Line Credit	8/30/2004	11/30/2026
Active	Resident	Agent	Life	5/14/2003	11/30/2026
Active	Resident	Agent	Variable Life and Variable Annuities	9/23/2004	11/30/2026
Active	Resident	Agent	Health	5/14/2003	11/30/2026
Active	Resident	Agent	Casualty	7/11/2006	11/30/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	09/15/2024	11/30/2024	06/03/2024	06/03/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/21/2023
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	8/21/2023
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	8/21/2023
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	7/28/2023
Inactive	C.M. Life Insurance Company	301335	Agent - Health	5/31/2003	8/9/2004
Inactive	C.M. Life Insurance Company	301335	Agent - Life	5/31/2003	8/9/2004
Inactive	CHA HMO, Inc.	300662	Agent - Health	2/2/2023	7/14/2023
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	8/25/2023
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	9/20/2011	3/14/2019
Inactive	CompBenefits Insurance Company	301864	Agent - Health	10/7/2020	7/14/2023
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	8/21/2023
Active	Dental Concern Inc. (The)	301641	Agent - Health	7/24/2023
Inactive	Everlake Life Insurance Company	300873	Agent - Life	6/28/2004	10/5/2005
Inactive	Genworth Life Insurance Company	300623	Agent - Health	5/8/2015	12/14/2016
Inactive	Genworth Life Insurance Company	300623	Agent - Life	5/8/2015	12/14/2016
Inactive	Glenbrook Life and Annuity Company	301384	Agent - Life	6/28/2004	1/1/2005
Active	Guarantee Trust Life Insurance Company	301043	Agent - Health	3/13/2013
Active	Guarantee Trust Life Insurance Company	301043	Agent - Life	3/13/2013
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	8/7/2023
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	8/7/2023
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/20/2011	7/14/2023
Active	Humana Insurance Company	301104	Agent - Health	8/1/2023
Inactive	Humana Insurance Company	301104	Agent - Life	9/20/2011	7/14/2023
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/20/2011	8/6/2020
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/20/2011	8/6/2020
Active	Humana Medical Plan, Inc.	801568	Agent - Health	8/7/2023
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/15/2020	7/14/2023
Inactive	HumanaDental Insurance Company	301457	Agent - Health	9/20/2011	5/13/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Life	9/20/2011	5/13/2013
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/20/2011	11/12/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	9/20/2011	11/12/2015
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	5/31/2003	8/9/2004
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	5/31/2003	8/9/2004
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	6/28/2004	10/4/2005
Inactive	National Guardian Life Insurance Company	300596	Agent - Life	1/22/2015	12/12/2016
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	6/29/2004	11/3/2005
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	6/29/2004	11/3/2005
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	6/23/2013	12/22/2016
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	2/22/2012	10/21/2016
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	2/22/2012	10/21/2016
Inactive	ReliaStar Life Insurance Company	301712	Agent - Variable Life and Variable Annuities	2/22/2012	10/21/2016
Inactive	Reserve National Insurance Company	301073	Agent - Health	2/23/2017	7/20/2018
Inactive	Reserve National Insurance Company	301073	Agent - Life	2/23/2017	7/20/2018
Inactive	Security Life of Denver Insurance Company	300648	Agent - Health	2/22/2012	9/22/2012
Inactive	Security Life of Denver Insurance Company	300648	Agent - Life	2/22/2012	9/22/2012
Inactive	Security Life of Denver Insurance Company	300648	Agent - Variable Life and Variable Annuities	2/22/2012	9/22/2012
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	8/30/2004	9/21/2006
Inactive	State Farm Fire and Casualty Company	301809	Agent - Casualty	9/20/2007	11/7/2011
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	9/28/2006	11/7/2011
Inactive	State Farm General Insurance Company	301122	Agent - Casualty	9/20/2007	11/17/2010
Inactive	State Farm General Insurance Company	301122	Agent - Property	9/28/2006	11/17/2010
Inactive	State Farm Life Insurance Company	301810	Agent - Life	9/28/2006	11/7/2011
Inactive	State Farm Life Insurance Company	301810	Agent - Variable Life and Variable Annuities	9/28/2006	11/7/2011
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	9/28/2006	11/7/2011
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Health	9/22/2008	11/7/2011
Inactive	Time Insurance Company	300683	Agent - Health	10/8/2010	10/5/2011
Inactive	Time Insurance Company	300683	Agent - Life	10/8/2010	10/5/2011
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	12/15/2016	8/14/2018
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	12/15/2016	8/14/2018
Inactive	Transamerica Life Insurance Company	300571	Agent - Variable Life and Variable Annuities	10/4/2004	10/31/2005
Inactive	United World Life Insurance Company	300532	Agent - Health	12/3/2020	10/24/2022
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	8/25/2023
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/25/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	10/19/2011	7/21/2023
Inactive	Humana MarketPOINT Inc.	398092	Agent - Life	10/19/2011	7/21/2023
Inactive	Medlink Inc	400721	Agent - Health	10/30/2003	8/9/2004
Inactive	Medlink Inc	400721	Agent - Life	10/30/2003	11/3/2005
Inactive	PNC Bank, NA	591188	Agent - Limited Line Credit	11/22/2004	9/21/2006
Active	The Brumfield Agency LLC	1349174	Agent - Health	7/9/2024
Active	The Brumfield Agency LLC	1349174	Agent - Life	7/9/2024