DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Brown West, Tina M	DOIID	921945	NAIC NPN	6594857

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	7/21/2016		4/30/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	02/15/2025	04/30/2025	03/10/2025	03/10/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Inactive	American General Life Insurance Company	301585	Agent - Life	9/20/2022	6/22/2024
Active	Cincinnati Life Insurance Company (The)	300601	Agent - Life	8/17/2016
Inactive	Pruco Life Insurance Company	300954	Agent - Life	6/1/2017	11/25/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Johnson Ins Services Inc	811799	Agent - Life	8/17/2016
Active	Wealth Preservation & Management Inc	562345	Agent - Life	8/17/2016