DEPARTMENT OF INSURANCE
Affiliations
NameSurovik, Brian KeithDOIID877150NAIC NPN7102363
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentVariable Life and Variable Annuities5/6/20154/30/2019 
InactiveNon ResidentAgentHealth5/6/20154/30/2019 
InactiveNon ResidentAgentLife5/6/20154/30/2019 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican Equity Investment Life Insurance Company300389Agent - Life1/4/20177/12/2018
InactiveAmerican National Insurance Company301861Agent - Health6/18/20154/30/2019
InactiveAmerican National Insurance Company301861Agent - Life6/18/20154/30/2019
InactiveAmerican National Insurance Company301861Agent - Variable Life and Variable Annuities6/18/20154/30/2019
InactiveBrighthouse Life Insurance Company301829Agent - Health5/21/20154/30/2019
InactiveBrighthouse Life Insurance Company301829Agent - Life5/21/20154/30/2019
InactiveBrighthouse Life Insurance Company301829Agent - Variable Life and Variable Annuities5/21/20154/30/2019
InactiveJackson National Life Insurance Company300486Agent - Health11/28/20184/30/2019
InactiveJackson National Life Insurance Company300486Agent - Life11/28/20184/30/2019
InactiveJackson National Life Insurance Company300486Agent - Variable Life and Variable Annuities11/28/20184/30/2019
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Life5/11/20164/30/2019
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Variable Life and Variable Annuities5/11/20164/30/2019
InactiveRiverSource Life Insurance Company301952Agent - Health8/28/20184/30/2019
InactiveRiverSource Life Insurance Company301952Agent - Life8/28/20184/30/2019
InactiveRiverSource Life Insurance Company301952Agent - Variable Life and Variable Annuities8/28/20184/30/2019
InactiveTransamerica Life Insurance Company300571Agent - Life5/27/20159/24/2018
InactiveTransamerica Life Insurance Company300571Agent - Variable Life and Variable Annuities5/27/20159/24/2018
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveInvestment Professionals Inc567824Agent - Health5/21/20153/31/2019
InactiveInvestment Professionals Inc567824Agent - Variable Life and Variable Annuities5/21/20153/31/2019
InactiveInvestment Professionals Inc567824Agent - Life5/21/20153/31/2019

© Commonwealth of Kentucky. All rights reserved.