DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Poloni, Brooklyn D	DOIID	982079	NAIC NPN	18675062

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	3/22/2018		5/31/2026
Active	Resident	Agent	Health	3/13/2018		5/31/2026
Active	Resident	Agent	Limited Line Credit	3/5/2018		5/31/2026
* 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	03/15/2024	05/31/2024	02/27/2024	02/27/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Lyndon Southern Insurance Company	609602	Agent - Limited Line Credit	3/7/2018
Active	Southern Financial Life Insurance Company	300664	Agent - Health	4/5/2018
Active	Southern Financial Life Insurance Company	300664	Agent - Life	4/5/2018
Active	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	3/7/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Eagle Financial Services Inc	401081	Agent - Health	4/5/2018	3/31/2022
Inactive	Eagle Financial Services Inc	401081	Agent - Life	4/5/2018	3/31/2022
Inactive	Eagle Financial Services Inc	401081	Agent - Limited Line Credit	4/3/2018	3/31/2022