DEPARTMENT OF INSURANCE

Name	Bosch, Brian Lyn	DOIID	815285	NAIC NPN	14186708

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	1/8/2020		5/31/2026
Active	Non Resident	Agent	Health	11/17/2020		5/31/2026
Inactive	Non Resident	Agent	Casualty	5/27/2015	5/31/2016
Inactive	Non Resident	Agent	Property	5/27/2015	5/31/2016

*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	05/07/2024	05/07/2024	Yes

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Business / Home Office	900 S Newcomb Ave Apt 108 Sioux Falls, SD 571066805
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(661) 857-6272