DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

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
Inactive	Resident	Agent	Life	3/22/2018	6/1/2026
Inactive	Resident	Agent	Limited Line Credit	3/5/2018	5/31/2026
Inactive	Resident	Agent	Health	3/13/2018	6/1/2026
* 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	Lyndon Southern Insurance Company	609602	Agent - Limited Line Credit	3/7/2018	5/31/2026
Inactive	Southern Financial Life Insurance Company	300664	Agent - Health	4/5/2018	6/1/2026
Inactive	Southern Financial Life Insurance Company	300664	Agent - Life	4/5/2018	6/1/2026
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	3/7/2018	5/31/2026

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