DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	National Benefit Center	DOIID	771337	NAIC NPN	16404839

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	12/22/2011		3/31/2027
Active	Non Resident	Agent	Health	12/22/2011		3/31/2027
* 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	Guardian Life Insurance Company of America	301316	Agent - Health	5/14/2015	6/16/2022
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	5/14/2015	6/16/2022
Inactive	HM Life Insurance Company	301408	Agent - Health	6/18/2014	7/12/2023
Inactive	HM Life Insurance Company	301408	Agent - Life	6/18/2014	7/12/2023
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	3/8/2012
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	3/8/2012

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Braun, Perry Steven	1274755	Agent - Health	11/1/2023
Active	Braun, Perry Steven	1274755	Agent - Life	11/1/2023
Inactive	Oconnell, John F	390195	Agent - Health	12/22/2011	11/30/2023
Inactive	Oconnell, John F	390195	Agent - Life	12/22/2011	11/30/2023