DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Brown, Brian J	DOIID	703613	NAIC NPN	9137587

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	1/30/2020		10/31/2025
Active	Non Resident	Agent	Life	1/30/2020		10/31/2025
* 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	Fidelity Investments Life Insurance Company	300620	Agent - Health	11/9/2009	3/21/2011
Active	Fidelity Investments Life Insurance Company	300620	Agent - Life	4/10/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fidelity Employer Ins Services Inc	653192	Agent - Life	11/9/2009	3/21/2011
Inactive	Fidelity Employer Ins Services Inc	653192	Agent - Health	11/9/2009	3/21/2011
Denied	Fidelity Health Insurance Services LLC	887889	Agent - Life
Denied	Fidelity Health Insurance Services LLC	887889	Agent - Health
Denied	Fidelity Insurance Agency Inc.	400221	Agent - Life
Denied	Fidelity Insurance Agency Inc.	400221	Agent - Health