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DEPARTMENT OF INSURANCE
Affiliations
Name
Black, Bradley Stevens
DOIID
570636
NAIC NPN
4951265
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Resident
Agent
Casualty
2/25/2016
8/31/2019
Inactive
Resident
Agent
Property
2/25/2016
8/31/2019
Inactive
Resident
Agent
Limited Line Credit
5/27/2003
10/31/2003
Inactive
Resident
Agent
Health
9/30/2009
8/31/2019
Inactive
Resident
Agent
Life
9/30/2009
8/31/2019
* 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
5 Star Life Insurance Company
300673
Agent - Health
4/15/2013
12/30/2014
Inactive
5 Star Life Insurance Company
300673
Agent - Life
4/15/2013
12/30/2014
Inactive
Aetna Health and Life Insurance Company
300523
Agent - Health
9/12/2018
8/31/2019
Inactive
American Continental Insurance Company
643130
Agent - Health
9/12/2018
9/24/2018
Inactive
American Continental Insurance Company
643130
Agent - Life
9/24/2018
8/31/2019
Inactive
American Family Life Assurance Company of Columbus (AFLAC)
301781
Agent - Health
9/17/2012
11/20/2013
Inactive
American Memorial Life Insurance Company
301445
Agent - Life
8/30/2010
5/9/2013
Inactive
American-Amicable Life Insurance Co. of Texas
300257
Agent - Health
3/2/2009
9/1/2009
Inactive
American-Amicable Life Insurance Co. of Texas
300257
Agent - Life
2/27/2017
7/30/2018
Inactive
Americo Financial Life and Annuity Insurance Company
300869
Agent - Health
4/17/2009
9/1/2009
Inactive
Americo Financial Life and Annuity Insurance Company
300869
Agent - Life
3/20/2014
4/23/2015
Inactive
Columbian Life Insurance Company
300810
Agent - Life
5/12/2015
1/18/2017
Inactive
Continental Life Insurance Company of Brentwood Tennessee
301526
Agent - Health
9/24/2018
8/31/2019
Inactive
Continental Life Insurance Company of Brentwood Tennessee
301526
Agent - Life
9/12/2018
9/24/2018
Inactive
Erie Family Life Insurance Company
301400
Agent - Life
3/8/2016
1/11/2018
Inactive
Erie Insurance Company
300230
Agent - Casualty
3/8/2016
1/11/2018
Inactive
Erie Insurance Company
300230
Agent - Property
3/8/2016
1/11/2018
Inactive
Erie Insurance Company of New York
789916
Agent - Casualty
3/8/2016
1/11/2018
Inactive
Erie Insurance Company of New York
789916
Agent - Property
3/8/2016
1/11/2018
Inactive
Erie Insurance Exchange
300789
Agent - Casualty
3/8/2016
1/11/2018
Inactive
Erie Insurance Exchange
300789
Agent - Property
3/8/2016
1/11/2018
Inactive
Erie Insurance Property & Casualty Company
789942
Agent - Casualty
3/8/2016
1/11/2018
Inactive
Erie Insurance Property & Casualty Company
789942
Agent - Property
3/8/2016
1/11/2018
Inactive
Everly Life Insurance Company
561641
Agent - Life
10/29/2014
12/28/2016
Inactive
Family Life Insurance Company
300356
Agent - Health
10/20/2010
8/18/2016
Inactive
Family Life Insurance Company
300356
Agent - Life
10/20/2010
12/28/2012
Inactive
Flagship City Insurance Company
789965
Agent - Casualty
3/8/2016
1/11/2018
Inactive
Flagship City Insurance Company
789965
Agent - Property
3/8/2016
1/11/2018
Inactive
Gerber Life Insurance Company
300529
Agent - Health
10/21/2010
12/17/2012
Inactive
Gerber Life Insurance Company
300529
Agent - Life
10/21/2010
12/17/2012
Inactive
Independent Order of Foresters
300743
Agent - Life
11/22/2010
12/23/2015
Inactive
Kansas City Life Insurance Company
301444
Agent - Health
5/7/2018
8/31/2019
Inactive
Kansas City Life Insurance Company
301444
Agent - Life
5/7/2018
8/31/2019
Inactive
Lincoln Heritage Life Insurance Company
500016
Agent - Health
11/12/2008
5/19/2009
Inactive
Lincoln Heritage Life Insurance Company
500016
Agent - Life
11/12/2008
5/19/2009
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Health
7/16/2012
12/15/2016
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Life
7/16/2012
12/15/2016
Inactive
Mutual of Omaha Insurance Company
301012
Agent - Health
10/13/2010
12/17/2012
Inactive
Old American Insurance Company
300762
Agent - Health
3/9/2017
8/31/2019
Inactive
Old American Insurance Company
300762
Agent - Life
3/9/2017
8/31/2019
Inactive
Oxford Life Insurance Company
301079
Agent - Health
7/30/2012
5/31/2016
Inactive
Oxford Life Insurance Company
301079
Agent - Life
7/30/2012
5/31/2016
Inactive
Royal Neighbors of America
301646
Agent - Life
1/24/2013
11/26/2016
Inactive
ShelterPoint Insurance Company
300439
Agent - Limited Line Credit
7/28/2003
10/31/2003
Inactive
Standard Life and Casualty Insurance Company
301699
Agent - Life
9/15/2011
8/31/2019
Inactive
Texas Life Insurance Company
300345
Agent - Life
3/13/2012
12/17/2012
Inactive
Transamerica Life Insurance Company
300571
Agent - Health
5/14/2015
8/11/2016
Inactive
Transamerica Life Insurance Company
300571
Agent - Life
5/14/2015
8/11/2016
Inactive
Transamerica Premier Life Insurance Company
300558
Agent - Health
6/10/2008
10/15/2008
Inactive
Transamerica Premier Life Insurance Company
300558
Agent - Life
5/14/2010
3/11/2013
Inactive
Transamerica Premier Life Insurance Company
300558
Agent - Limited Line Credit
5/12/2008
Inactive
United Home Life Insurance Company
300421
Agent - Life
8/3/2011
12/20/2012
Inactive
United of Omaha Life Insurance Company
300156
Agent - Health
8/17/2018
10/20/2019
Inactive
United of Omaha Life Insurance Company
300156
Agent - Life
8/17/2018
10/20/2019
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Tribbett-Rich Insurance Group LLC
862100
Agent - Life
6/15/2016
6/7/2018
Inactive
Tribbett-Rich Insurance Group LLC
862100
Agent - Health
6/15/2016
12/15/2016
Inactive
Tribbett-Rich Insurance Group LLC
862100
Agent - Casualty
6/15/2016
1/11/2018
Inactive
Tribbett-Rich Insurance Group LLC
862100
Agent - Property
6/15/2016
1/11/2018
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