DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Bruggeman, Brian Kenneth	DOIID	824107	NAIC NPN	9052813

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	10/11/2013	12/31/2016
* 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	Genworth Life and Annuity Insurance Company	301276	Agent - Life	12/16/2014	10/17/2016
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	12/4/2014	12/31/2016
Inactive	Protective Life Insurance Company	300638	Agent - Life	12/5/2013	11/23/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Cetera Investment Services LLC	398143	Agent - Life	2/6/2015	12/31/2016