DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Smith, Brandon Broderick	DOIID	728074	NAIC NPN	15755855

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	5/25/2010	8/31/2014
Inactive	Non Resident	Agent	Life	5/25/2010	8/31/2014
* 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	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	6/14/2010	8/31/2014
Inactive	Omaha Insurance Company	751908	Agent - Health	3/30/2012	8/31/2014
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	10/7/2011	8/31/2014
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	10/7/2011	8/31/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	PCCW Teleservices (US) , Inc.	533374	Agent - Health	3/29/2012	8/31/2014
Inactive	PCCW Teleservices (US) , Inc.	533374	Agent - Life	3/29/2012	8/31/2014