DEPARTMENT OF INSURANCE

Affiliations

Name	Broadbent, Steven Warren	DOIID	590913	NAIC NPN	2231055

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	6/14/2004	8/31/2017
Inactive	Non Resident	Agent	Variable Life and Variable Annuities	6/14/2004	8/31/2017
Inactive	Non Resident	Agent	Health	2/4/2009	8/31/2017
* 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.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	1/6/2012	9/3/2013
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	1/6/2012	9/3/2013
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	1/6/2012	9/3/2013
Inactive	Humana Insurance Company	301104	Agent - Health	1/4/2012	9/3/2013
Inactive	Humana Insurance Company	301104	Agent - Life	1/4/2012	9/3/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/6/2012	9/3/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/6/2012	9/3/2013
Inactive	Kanawha Insurance Company	300127	Agent - Health	1/6/2012	9/3/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	1/6/2012	9/3/2013
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Life	6/15/2004	8/31/2017
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Variable Life and Variable Annuities	6/15/2004	8/31/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Executive Ins Agency Inc	400244	Agent - Life	8/30/2011	8/31/2017
Inactive	Executive Ins Agency Inc	400244	Agent - Variable Life and Variable Annuities	8/30/2011	8/31/2017
Denied	Executive Ins Agency Inc	400244	Agent - Health