DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Brun, Adam	DOIID	881148	NAIC NPN	17620363

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	6/22/2015	11/19/2015
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	7/7/2015	11/19/2015
Inactive	Aetna Life Insurance Company	301140	Agent - Health	7/7/2015	11/19/2015
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	7/1/2015	10/22/2015
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	6/24/2015	10/13/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	6/24/2015	10/13/2015
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	7/7/2015	11/19/2015
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	6/24/2015	10/13/2015
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	6/24/2015	10/13/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	6/24/2015	10/13/2015
Inactive	Humana Insurance Company	301104	Agent - Health	6/24/2015	10/13/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	6/24/2015	10/13/2015
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	6/24/2015	10/13/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	6/24/2015	10/13/2015
Inactive	Medco Containment Life Insurance Company	301557	Agent - Health	9/3/2015	11/19/2015
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/26/2015	11/19/2015
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/22/2015	10/14/2015
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	7/22/2015	10/14/2015
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/10/2015	10/14/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	eHealthInsurance Services Inc.	514105	Agent - Health	7/24/2015	10/7/2015