DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Doherty, Brian J	DOIID	763305	NAIC NPN	16288963

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	9/13/2011		10/31/2024
Active	Non Resident	Agent	Health	9/13/2011		10/31/2024
* 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	08/15/2024	10/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Union Labor Life Insurance Company	301832	Agent - Health	10/15/2011
Active	Union Labor Life Insurance Company	301832	Agent - Life	10/15/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Ullico Select LLC	502043	Agent - Health	9/16/2013
Active	Ullico Select LLC	502043	Agent - Life	9/16/2013