DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Breitenstein, Brian Thomas	DOIID	641001	NAIC NPN	8929522

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	5/24/2022		8/31/2026
Active	Resident	Agent	Health	5/24/2022		8/31/2026
Inactive	Resident	Agent	Limited Line Credit	4/29/2016	8/31/2020
* 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
Agent	06/15/2024	08/31/2024	07/02/2024	07/02/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	5/9/2016	8/31/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Citizens Bank of Northern Kentucky, Inc.	398933	Agent - Limited Line Credit	6/13/2016	3/31/2018
Inactive	Farmers Capital Ins Corporation	399913	Agent - Limited Line Credit	9/11/2017	8/31/2020
Denied	Ubs Financial Services Ins Agency Inc	399373	Agent - Life
Denied	Ubs Financial Services Ins Agency Inc	399373	Agent - Health