DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Merker, Bradlee F	DOIID	631962	NAIC NPN	6929343

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	12/29/2016	8/31/2018
Inactive	Non Resident	Agent	Life	5/15/2006	8/31/2008
Inactive	Non Resident	Agent	Health	5/15/2006	8/31/2008
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fairview Pharmacy Services LLC	931171	Administrator - Not Applicable	12/29/2016	4/28/2017
Denied	Risk Planners, Inc.	502288	Agent - Life
Denied	Risk Planners, Inc.	502288	Agent - Health