DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Brown, Richard Edward	DOIID	749021	NAIC NPN	16121148

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	3/2/2011	9/9/2016
Inactive	Non Resident	Agent	Life	3/2/2011	9/9/2016
* 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	American Financial Security Life Insurance Co.	301635	Agent - Health	10/20/2015	9/9/2016
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/8/2015	10/8/2015
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/8/2015	9/9/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/8/2015	9/9/2016
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/19/2015	10/7/2016
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/19/2015	10/7/2016
Inactive	Golden Rule Insurance Company	301943	Agent - Health	10/6/2015	9/9/2016
Inactive	Golden Rule Insurance Company	301943	Agent - Life	10/6/2015	9/9/2016
Inactive	HCC Life Insurance Company	301827	Agent - Health	9/28/2015	7/21/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/20/2015	10/7/2016
Inactive	Time Insurance Company	300683	Agent - Health	3/3/2011	6/16/2015
Inactive	Time Insurance Company	300683	Agent - Life	3/3/2011	6/16/2015
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	10/6/2015	9/9/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	10/6/2015	9/9/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	10/6/2015	9/9/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	10/8/2015	9/9/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/8/2015	9/9/2016
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	6/14/2016	9/9/2016