DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Independence Brokerage Group, Inc.	DOIID	892063	NAIC NPN	17694363

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	9/19/2015	6/12/2025
Inactive	Non Resident	Agent	Life	9/19/2015	6/12/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dow, Brian R	820277	Agent - Health	9/19/2015	12/29/2023
Inactive	Dow, Brian R	820277	Agent - Life	9/19/2015	12/29/2023
Inactive	Espino, Stephanie Michele	1007413	Agent - Health	12/29/2023	6/12/2025
Inactive	Espino, Stephanie Michele	1007413	Agent - Life	12/29/2023	6/12/2025