DEPARTMENT OF INSURANCE

Affiliations

Name	Potter, Brandon T	DOIID	684002	NAIC NPN	11027250

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	11/18/2019	3/31/2022
Inactive	Non Resident	Agent	Health	11/18/2019	3/31/2022
* 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	5 Star Life Insurance Company	300673	Agent - Life	3/1/2016	3/31/2018
Inactive	Accendo Insurance Company	300312	Agent - Life	6/10/2020	3/31/2022
Inactive	American General Life Insurance Company	301585	Agent - Life	1/24/2017	3/31/2018
Inactive	Assurity Life Insurance Company	301099	Agent - Life	11/12/2009	4/2/2010
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	8/8/2008	6/7/2011
Inactive	Banner Life Insurance Company	301696	Agent - Life	8/18/2008	11/3/2011
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	9/15/2009	11/2/2012
Inactive	Gerber Life Insurance Company	300529	Agent - Life	4/7/2020	3/31/2022
Inactive	Independent Order of Foresters	300743	Agent - Health	11/19/2019	3/31/2022
Inactive	Liberty Bankers Life Insurance Company	542461	Agent - Life	11/8/2016	3/31/2018
Inactive	Lumico Life Insurance Company	300354	Agent - Life	11/20/2019	3/31/2022
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	10/20/2011	11/5/2012
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	2/29/2016	2/15/2018
Inactive	Pruco Life Insurance Company	300954	Agent - Life	8/8/2008	11/7/2012
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	9/12/2008	12/3/2012
Inactive	Revol One Insurance Company	300681	Agent - Life	9/15/2008	5/31/2012
Inactive	Royal Neighbors of America	301646	Agent - Life	4/30/2020	3/31/2022
Inactive	S.USA Life Insurance Company, Inc.	301774	Agent - Health	4/28/2020	12/15/2020
Inactive	S.USA Life Insurance Company, Inc.	301774	Agent - Life	4/28/2020	12/15/2020
Inactive	Sagicor Life Insurance Company	300459	Agent - Life	11/21/2019	11/9/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Efinancial LLC	598419	Agent - Life	9/26/2008	11/2/2012
Denied	Efinancial LLC	598419	Agent - Health