DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Willis, Brandon	DOIID	825420	NAIC NPN	17074224

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/23/2013	1/31/2017
Inactive	Non Resident	Agent	Life	10/23/2013	1/31/2017
* 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	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	2/24/2016	1/31/2017
Inactive	Anthem Life Insurance Company	301209	Agent - Health	11/6/2014	1/31/2017
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/6/2014	1/31/2017
Inactive	Colorado Bankers Life Insurance Company	301845	Agent - Health	10/30/2015	1/31/2017
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/23/2014	3/23/2016
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/23/2014	3/23/2016
Inactive	HCC Life Insurance Company	301827	Agent - Health	6/5/2015	10/3/2016
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	4/8/2016	1/31/2017
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	4/8/2016	1/31/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	4/8/2016	1/31/2017
Inactive	Humana Insurance Company	301104	Agent - Health	4/8/2016	1/31/2017
Inactive	Humana Insurance Company	301104	Agent - Life	4/8/2016	1/31/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	4/8/2016	1/31/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	4/8/2016	1/31/2017
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	4/8/2016	1/31/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	11/6/2014	12/20/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Health	11/6/2014	12/20/2016