DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Gorsuch, Brian Thomas	DOIID	986017	NAIC NPN	18708019

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	2/28/2018		8/31/2024
Active	Non Resident	Agent	Health	2/28/2018		8/31/2024
* 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	06/15/2024	08/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	AAA Life Insurance Company	300287	Agent - Health	5/14/2019
Active	AAA Life Insurance Company	300287	Agent - Life	5/14/2019
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	1/9/2019	6/20/2019
Inactive	American Continental Insurance Company	643130	Agent - Life	1/9/2019	6/20/2019
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	1/9/2019	6/20/2019
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	2/28/2018	1/20/2019
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	2/28/2018	1/20/2019
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	2/28/2018	1/20/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Insuractive LLC	820112	Agent - Life	2/4/2019	7/15/2019
Inactive	Insuractive LLC	820112	Agent - Health	2/4/2019	7/15/2019