DEPARTMENT OF INSURANCE
Affiliations
NameGreen, Brandon ShaneDOIID649753NAIC NPN9080908
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentHealth7/31/20095/1/2013 
InactiveResidentAgentVariable Life and Variable Annuities7/31/20095/1/2013 
InactiveResidentAgentLife7/31/20095/1/2013 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health11/24/20098/29/2011
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life11/24/20098/29/2011
InactiveForesters Life Insurance and Annuity Company300882Agent - Life2/26/200710/1/2007
InactiveForesters Life Insurance and Annuity Company300882Agent - Variable Life and Variable Annuities4/3/200710/1/2007
InactiveJohn Alden Life Insurance Company300573Agent - Health12/17/20075/1/2009
InactiveJohn Alden Life Insurance Company300573Agent - Life12/17/20075/1/2009
InactiveMassMutual Ascend Life Insurance Company300320Agent - Life1/30/20135/1/2013
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Health12/14/200910/6/2010
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Life8/25/200910/6/2010
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Variable Life and Variable Annuities9/18/200910/6/2010
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Life3/25/20115/1/2013
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Variable Life and Variable Annuities3/25/20115/1/2013
InactivePrincipal Life Insurance Company300129Agent - Health4/10/20105/1/2013
InactivePrincipal Life Insurance Company300129Agent - Life4/10/20105/1/2013
InactivePrincipal National Life Insurance Company301926Agent - Life4/10/20105/1/2013
InactiveSouthern Financial Life Insurance Company300664Agent - Health4/13/20115/1/2013
InactiveSouthern Financial Life Insurance Company300664Agent - Life4/13/20115/1/2013
InactiveTalcott Resolution Life Insurance Company301759Agent - Life7/26/200711/29/2007
InactiveTalcott Resolution Life Insurance Company301759Agent - Variable Life and Variable Annuities7/26/200711/29/2007
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life7/26/200711/29/2007
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Variable Life and Variable Annuities7/26/200711/29/2007
InactiveWestern and Southern Life Insurance Company301744Agent - Health11/30/20071/8/2009
InactiveWestern and Southern Life Insurance Company301744Agent - Life11/30/20071/8/2009
InactiveWestern-Southern Life Assurance Company301590Agent - Health11/30/20071/8/2009
InactiveWestern-Southern Life Assurance Company301590Agent - Life11/30/20071/8/2009
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveMedlink Inc400721Agent - Life3/5/20085/1/2009
InactiveMedlink Inc400721Agent - Health3/5/20085/1/2009
InactivePNC Insurance Services LLC400874Agent - Life2/9/20115/1/2013
DeniedPNC Insurance Services LLC400874Agent - Variable Life and Variable Annuities  
InactivePNC Insurance Services LLC400874Agent - Health2/9/20115/1/2013

© Commonwealth of Kentucky. All rights reserved.