DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	The Brokers Source Ltd	DOIID	608649	NAIC NPN	957440

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	7/25/2011		3/31/2027
Active	Non Resident	Agent	Health	7/25/2011		3/31/2027
* 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
Active	Banner Life Insurance Company	301696	Agent - Life	5/24/2012
Active	Cincinnati Life Insurance Company (The)	300601	Agent - Health	9/8/2017
Active	Cincinnati Life Insurance Company (The)	300601	Agent - Life	9/8/2017
Active	Gerber Life Insurance Company	300529	Agent - Health	2/9/2023
Active	Gerber Life Insurance Company	300529	Agent - Life	2/9/2023
Active	Metropolitan Life Insurance Company	301948	Agent - Health	1/27/2016
Active	Metropolitan Life Insurance Company	301948	Agent - Life	1/27/2016
Active	Pacific Life Insurance Company	301848	Agent - Life	3/20/2017
Active	Protective Life Insurance Company	300638	Agent - Health	8/4/2011
Active	Protective Life Insurance Company	300638	Agent - Life	8/4/2011
Active	Pruco Life Insurance Company	300954	Agent - Health	4/7/2022
Active	Pruco Life Insurance Company	300954	Agent - Life	4/7/2022
Active	Reliance Standard Life Insurance Company	300584	Agent - Health	6/27/2018
Active	Reliance Standard Life Insurance Company	300584	Agent - Life	6/27/2018
Active	State Life Insurance Company	301497	Agent - Health	4/9/2016
Active	State Life Insurance Company	301497	Agent - Life	4/9/2016

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Haynes, Pryce Middleton	735644	Agent - Health	8/30/2017
Active	Haynes, Pryce Middleton	735644	Agent - Life	8/30/2017
Inactive	Phillips, Raymond S	608481	Agent - Health	7/25/2011	11/23/2017
Inactive	Phillips, Raymond S	608481	Agent - Life	7/25/2011	11/23/2017
Inactive	Pifer, Jeffrey E	860234	Agent - Life	12/18/2014	8/31/2016
Inactive	Young, Richard A	583846	Agent - Life	11/5/2013	11/2/2015