DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Mann, Brian D	DOIID	621627	NAIC NPN	8665180

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	4/18/2006	9/1/2010
Inactive	Resident	Agent	Life	4/18/2006	9/1/2010
* 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	Augustar Life Assurance Corporation	301113	Agent - Health	7/17/2008	3/23/2009
Inactive	Augustar Life Assurance Corporation	301113	Agent - Life	7/17/2008	3/23/2009
Inactive	Augustar Life Insurance Company	301816	Agent - Health	7/17/2008	3/23/2009
Inactive	Augustar Life Insurance Company	301816	Agent - Life	7/17/2008	3/23/2009
Inactive	Columbus Life Insurance Company	301227	Agent - Health	4/18/2006	4/23/2007
Inactive	Columbus Life Insurance Company	301227	Agent - Life	4/18/2006	4/23/2007
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	5/11/2006	3/12/2007
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	5/11/2006	3/12/2007
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	5/11/2006	3/12/2007
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	5/11/2006	3/12/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Risk Solutions LLC	675540	Agent - Health	7/17/2008	3/23/2009
Inactive	Risk Solutions LLC	675540	Agent - Life	9/2/2008	3/23/2009