DEPARTMENT OF INSURANCE

Affiliations

Name	Woerdeman, Bradley	DOIID	794602	NAIC NPN	16794080

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	10/12/2012	8/31/2020
Inactive	Non Resident	Agent	Casualty	8/3/2016	8/31/2020
Inactive	Non Resident	Agent	Property	8/3/2016	8/31/2020
Inactive	Non Resident	Agent	Health	10/12/2012	8/31/2020
* 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 Heritage Life Insurance Company	300272	Agent - Health	12/23/2014	6/15/2015
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	12/23/2014	6/15/2015
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	10/29/2013	8/31/2020
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	10/29/2013	8/31/2020
Inactive	Continental American Insurance Company	301700	Agent - Health	9/12/2013	8/31/2020
Inactive	Continental American Insurance Company	301700	Agent - Life	9/12/2013	8/31/2020
Inactive	Kanawha Insurance Company	300127	Agent - Health	2/6/2013	5/4/2017
Inactive	Kanawha Insurance Company	300127	Agent - Life	2/6/2013	5/4/2017
Inactive	National Casualty Company	301483	Agent - Casualty	9/12/2016	8/31/2020
Inactive	National Casualty Company	301483	Agent - Property	9/12/2016	8/31/2020
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	2/9/2017	8/31/2020
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	2/9/2017	8/31/2020
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	11/5/2014	8/31/2020
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	11/5/2014	8/31/2020
Inactive	Starmount Life Insurance Company	628031	Agent - Health	3/1/2019	8/31/2020
Inactive	Trustmark Insurance Company	300317	Agent - Health	9/27/2013	6/5/2016
Inactive	Trustmark Insurance Company	300317	Agent - Life	9/27/2013	6/5/2016
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	2/9/2017	8/31/2020
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	2/9/2017	8/31/2020
Inactive	Unum Insurance Company	301499	Agent - Health	3/1/2019	8/31/2020
Inactive	Unum Insurance Company	301499	Agent - Life	3/1/2019	8/31/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mercer Health & Benefits Administration Llc	656414	Agent - Health	1/27/2014	8/31/2020
Inactive	Mercer Health & Benefits Administration Llc	656414	Agent - Life	1/27/2014	8/31/2020
Inactive	Seabury & Smith Inc	394854	Agent - Health	3/12/2013	4/10/2014
Inactive	Seabury & Smith Inc	394854	Agent - Life	3/12/2013	4/10/2014