DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Wysocki, Bradley S	DOIID	676203	NAIC NPN	8962744

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/25/2020		7/31/2026
Active	Non Resident	Agent	Life	9/25/2020		7/31/2026
* 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	05/15/2026	07/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Companion Life Insurance Company	300191	Agent - Health	3/27/2012	3/23/2018
Inactive	Companion Life Insurance Company	300191	Agent - Life	3/27/2012	3/23/2018
Active	Freedom Life Insurance Company of America	300074	Agent - Health	10/2/2020
Active	Freedom Life Insurance Company of America	300074	Agent - Life	10/2/2020
Inactive	Golden Rule Insurance Company	301943	Agent - Health	7/20/2009	11/23/2016
Inactive	Golden Rule Insurance Company	301943	Agent - Life	9/29/2009	11/23/2016
Inactive	HCC Life Insurance Company	301827	Agent - Health	3/10/2015	10/3/2016
Inactive	Markel Insurance Company	301475	Agent - Health	3/10/2010	12/14/2011
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	7/14/2010	7/31/2018
Inactive	Pan-American Life Insurance Company	301530	Agent - Health	5/20/2008	8/23/2010
Inactive	Time Insurance Company	300683	Agent - Health	3/25/2010	12/20/2014
Inactive	Time Insurance Company	300683	Agent - Life	3/25/2010	12/20/2014
Inactive	United States Fire Insurance Company	582240	Agent - Health	6/26/2012	7/31/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Healthcare Access Group LLC	712340	Agent - Health	8/28/2009	3/31/2015
Inactive	Healthcare Access Group LLC	712340	Agent - Life	3/16/2010	3/31/2015
Active	Ushealth Advisors Llc	713288	Agent - Health	10/2/2020
Active	Ushealth Advisors Llc	713288	Agent - Life	10/2/2020