DEPARTMENT OF INSURANCE

Affiliations

Name	Koufeldt, Brandon Wayne	DOIID	792116	NAIC NPN	16786429

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	9/21/2012	3/31/2015
Inactive	Non Resident	Agent	Health	9/21/2012	3/31/2015
* 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 Continental Insurance Company	643130	Agent - Health	3/8/2013	11/11/2014
Inactive	American Continental Insurance Company	643130	Agent - Life	3/8/2013	11/11/2014
Inactive	Anthem Life Insurance Company	301209	Agent - Health	11/9/2013	3/31/2015
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/9/2013	3/31/2015
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/26/2012	5/1/2014
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/8/2013	3/31/2015
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	3/8/2013	3/31/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/26/2012	5/1/2014
Inactive	Gerber Life Insurance Company	300529	Agent - Health	10/29/2012	9/23/2013
Inactive	Gerber Life Insurance Company	300529	Agent - Life	10/29/2012	9/23/2013
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014	4/13/2015
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/26/2012	5/1/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/26/2012	5/1/2014
Inactive	Humana Insurance Company	301104	Agent - Health	10/24/2012	5/1/2014
Inactive	Humana Insurance Company	301104	Agent - Life	10/24/2012	5/1/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/26/2012	5/1/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/26/2012	5/1/2014
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014	4/13/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/26/2012	5/1/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	10/26/2012	5/1/2014
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	10/25/2012	9/23/2013
Inactive	Omaha Insurance Company	751908	Agent - Health	10/25/2012	9/23/2013
Inactive	Stonebridge Life Insurance Company	301614	Agent - Health	8/9/2013	3/31/2015
Inactive	Stonebridge Life Insurance Company	301614	Agent - Life	8/9/2013	3/31/2015
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	3/27/2015	3/31/2015
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	3/27/2015	3/31/2015
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	10/25/2012	9/23/2013
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	10/25/2012	9/23/2013
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	1/24/2013	4/17/2014
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	12/19/2012	4/17/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Continental Health Alliance LLC	667000	Agent - Life	12/4/2012	2/23/2015
Inactive	Continental Health Alliance LLC	667000	Agent - Health	12/4/2012	2/23/2015
Inactive	Designated Agent Company Inc.	681257	Agent - Life	11/9/2013	3/31/2015
Inactive	Designated Agent Company Inc.	681257	Agent - Health	11/9/2013	3/31/2015