DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Hassan, Brian Patrick	DOIID	826142	NAIC NPN	8760274

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/30/2013	10/31/2018
Inactive	Non Resident	Agent	Property	10/30/2013	10/31/2018
Inactive	Non Resident	Agent	Life	10/30/2013	10/31/2018
Inactive	Non Resident	Agent	Casualty	10/30/2013	10/31/2018
* 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	Dental Concern Inc. (The)	301641	Agent - Health	3/5/2015	12/8/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/3/2015	12/8/2015
Inactive	Humana Insurance Company	301104	Agent - Health	3/3/2015	12/8/2015
Inactive	Humana Insurance Company	301104	Agent - Life	3/3/2015	12/8/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	3/3/2015	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	3/3/2015	10/22/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Decisely Ins Services Inc	909099	Agent - Life	3/9/2016	12/13/2016
Inactive	Decisely Ins Services Inc	909099	Agent - Health	3/9/2016	12/13/2016