DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

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		10/31/2026
Active	Non Resident	Agent	Health	9/13/2011		10/31/2026
* 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	Union Labor Life Insurance Company	301832	Agent - Health	10/15/2011	5/6/2025
Inactive	Union Labor Life Insurance Company	301832	Agent - Life	10/15/2011	5/6/2025

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