DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Rose, Brian Laurence	DOIID	651951	NAIC NPN	1640814

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	9/1/2016	4/3/2017
Inactive	Non Resident	Agent	Casualty	4/2/2007	4/30/2009
Inactive	Non Resident	Agent	Health	10/31/2020	4/30/2023
Inactive	Non Resident	Agent	Property	4/2/2007	4/30/2009
* 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	CMFG Life Insurance Company	300929	Agent - Health	12/1/2016	3/2/2017
Inactive	CMFG Life Insurance Company	300929	Agent - Life	12/1/2016	3/2/2017
Inactive	Tesla Insurance Company	300337	Agent - Casualty	4/16/2007	12/20/2007
Inactive	Tesla Insurance Company	300337	Agent - Property	4/16/2007	12/20/2007
Inactive	Tesla Property & Casualty, Inc.	301611	Agent - Casualty	11/23/2007	12/20/2007
Inactive	Tesla Property & Casualty, Inc.	301611	Agent - Property	11/23/2007	12/20/2007
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	11/20/2020	12/30/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	11/20/2020	12/29/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Balboa Insurance Services Inc.	516610	Agent - Property	4/20/2007	12/20/2007
Inactive	Balboa Insurance Services Inc.	516610	Agent - Casualty	4/20/2007	12/20/2007
Inactive	Directnet Insurance Agency, Inc.	523020	Agent - Property	4/20/2007	12/20/2007
Inactive	Directnet Insurance Agency, Inc.	523020	Agent - Casualty	4/20/2007	12/20/2007