DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Williamson, Bradley Shane	DOIID	811410	NAIC NPN	16860944

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	5/31/2013	2/29/2016
Inactive	Non Resident	Agent	Health	7/25/2014	2/29/2016
Inactive	Non Resident	Agent	Property	5/31/2013	2/29/2016
Inactive	Non Resident	Agent	Life	3/3/2015	2/29/2016
* 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 Bankers Insurance Company of Florida	300360	Agent - Casualty	6/6/2013	8/8/2013
Inactive	American Bankers Insurance Company of Florida	300360	Agent - Property	6/6/2013	8/8/2013
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	7/25/2014	6/16/2015
Inactive	New York Life Insurance Company	300431	Agent - Health	3/12/2015	2/29/2016
Inactive	New York Life Insurance Company	300431	Agent - Life	3/12/2015	2/29/2016
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Health	3/12/2015	2/29/2016
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Life	3/12/2015	2/29/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CMH Homes, Inc.	398100	Agent - Property	6/6/2013	8/8/2013
Inactive	CMH Homes, Inc.	398100	Agent - Casualty	6/6/2013	8/8/2013