DEPARTMENT OF INSURANCE
Affiliations
NameBlack, Bradley StevensDOIID570636NAIC NPN4951265
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentCasualty2/25/20168/31/2019 
InactiveResidentAgentProperty2/25/20168/31/2019 
InactiveResidentAgentLimited Line Credit5/27/200310/31/2003 
InactiveResidentAgentHealth9/30/20098/31/2019 
InactiveResidentAgentLife9/30/20098/31/2019 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
Inactive5 Star Life Insurance Company300673Agent - Health4/15/201312/30/2014
Inactive5 Star Life Insurance Company300673Agent - Life4/15/201312/30/2014
InactiveAetna Health and Life Insurance Company300523Agent - Health9/12/20188/31/2019
InactiveAmerican Continental Insurance Company643130Agent - Health9/12/20189/24/2018
InactiveAmerican Continental Insurance Company643130Agent - Life9/24/20188/31/2019
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health9/17/201211/20/2013
InactiveAmerican Memorial Life Insurance Company301445Agent - Life8/30/20105/9/2013
InactiveAmerican-Amicable Life Insurance Co. of Texas300257Agent - Health3/2/20099/1/2009
InactiveAmerican-Amicable Life Insurance Co. of Texas300257Agent - Life2/27/20177/30/2018
InactiveAmerico Financial Life and Annuity Insurance Company300869Agent - Health4/17/20099/1/2009
InactiveAmerico Financial Life and Annuity Insurance Company300869Agent - Life3/20/20144/23/2015
InactiveColumbian Life Insurance Company300810Agent - Life5/12/20151/18/2017
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health9/24/20188/31/2019
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life9/12/20189/24/2018
InactiveErie Family Life Insurance Company301400Agent - Life3/8/20161/11/2018
InactiveErie Insurance Company300230Agent - Casualty3/8/20161/11/2018
InactiveErie Insurance Company300230Agent - Property3/8/20161/11/2018
InactiveErie Insurance Company of New York789916Agent - Casualty3/8/20161/11/2018
InactiveErie Insurance Company of New York789916Agent - Property3/8/20161/11/2018
InactiveErie Insurance Exchange300789Agent - Casualty3/8/20161/11/2018
InactiveErie Insurance Exchange300789Agent - Property3/8/20161/11/2018
InactiveErie Insurance Property & Casualty Company789942Agent - Casualty3/8/20161/11/2018
InactiveErie Insurance Property & Casualty Company789942Agent - Property3/8/20161/11/2018
InactiveEverly Life Insurance Company561641Agent - Life10/29/201412/28/2016
InactiveFamily Life Insurance Company300356Agent - Health10/20/20108/18/2016
InactiveFamily Life Insurance Company300356Agent - Life10/20/201012/28/2012
InactiveFlagship City Insurance Company789965Agent - Casualty3/8/20161/11/2018
InactiveFlagship City Insurance Company789965Agent - Property3/8/20161/11/2018
InactiveGerber Life Insurance Company300529Agent - Health10/21/201012/17/2012
InactiveGerber Life Insurance Company300529Agent - Life10/21/201012/17/2012
InactiveIndependent Order of Foresters300743Agent - Life11/22/201012/23/2015
InactiveKansas City Life Insurance Company301444Agent - Health5/7/20188/31/2019
InactiveKansas City Life Insurance Company301444Agent - Life5/7/20188/31/2019
InactiveLincoln Heritage Life Insurance Company500016Agent - Health11/12/20085/19/2009
InactiveLincoln Heritage Life Insurance Company500016Agent - Life11/12/20085/19/2009
InactiveLincoln National Life Insurance Company (The)301382Agent - Health7/16/201212/15/2016
InactiveLincoln National Life Insurance Company (The)301382Agent - Life7/16/201212/15/2016
InactiveMutual of Omaha Insurance Company301012Agent - Health10/13/201012/17/2012
InactiveOld American Insurance Company300762Agent - Health3/9/20178/31/2019
InactiveOld American Insurance Company300762Agent - Life3/9/20178/31/2019
InactiveOxford Life Insurance Company301079Agent - Health7/30/20125/31/2016
InactiveOxford Life Insurance Company301079Agent - Life7/30/20125/31/2016
InactiveRoyal Neighbors of America301646Agent - Life1/24/201311/26/2016
InactiveShelterPoint Insurance Company300439Agent - Limited Line Credit7/28/200310/31/2003
InactiveStandard Life and Casualty Insurance Company301699Agent - Life9/15/20118/31/2019
InactiveTexas Life Insurance Company300345Agent - Life3/13/201212/17/2012
InactiveTransamerica Life Insurance Company300571Agent - Health5/14/20158/11/2016
InactiveTransamerica Life Insurance Company300571Agent - Life5/14/20158/11/2016
InactiveTransamerica Premier Life Insurance Company300558Agent - Health6/10/200810/15/2008
InactiveTransamerica Premier Life Insurance Company300558Agent - Life5/14/20103/11/2013
InactiveTransamerica Premier Life Insurance Company300558Agent - Limited Line Credit 5/12/2008
InactiveUnited Home Life Insurance Company300421Agent - Life8/3/201112/20/2012
InactiveUnited of Omaha Life Insurance Company300156Agent - Health8/17/201810/20/2019
InactiveUnited of Omaha Life Insurance Company300156Agent - Life8/17/201810/20/2019
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveTribbett-Rich Insurance Group LLC862100Agent - Life6/15/20166/7/2018
InactiveTribbett-Rich Insurance Group LLC862100Agent - Health6/15/201612/15/2016
InactiveTribbett-Rich Insurance Group LLC862100Agent - Casualty6/15/20161/11/2018
InactiveTribbett-Rich Insurance Group LLC862100Agent - Property6/15/20161/11/2018

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