DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Taylor, Bradley J	DOIID	598967	NAIC NPN	3152782

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Administrator	Not Applicable	2/21/2022		6/30/2024
Pending Replacement	Non Resident	Agent	Life	9/19/2019		6/30/2024
Pending Replacement	Non Resident	Agent	Health	9/19/2019		6/30/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Administrator	04/15/2024	06/30/2024
Agent	04/15/2024	06/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	Metropolitan Life Insurance Company	301948	Agent - Health	4/8/2020
Pending Replacement	Metropolitan Life Insurance Company	301948	Agent - Life	4/8/2020
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	8/24/2006	6/30/2008
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	8/24/2006	6/30/2008
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	12/18/2006	6/30/2008
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	12/18/2006	6/30/2008
Inactive	Trustmark Insurance Company	300317	Agent - Health	7/1/2011	6/30/2012
Inactive	Trustmark Insurance Company	300317	Agent - Life	7/1/2011	6/30/2012
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	12/18/2006	6/30/2008
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	12/18/2006	6/30/2008
Inactive	West Coast Life Insurance Company	301607	Agent - Life	3/2/2005	12/28/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	Plansource Benefits Administration, Inc.	708356	Agent - Health	4/8/2020
Pending Replacement	Plansource Benefits Administration, Inc.	708356	Agent - Life	4/8/2020
Pending Replacement	Plansource Benefits Administration, Inc.	708356	Administrator - Not Applicable	2/22/2022