DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Southern, Brian	DOIID	1157155	NAIC NPN	16398046

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/8/2021		4/30/2026
Active	Non Resident	Agent	Life	9/8/2021		4/30/2026
* 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	02/15/2026	04/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	12/27/2023
Inactive	Anthem Life Insurance Company	301209	Agent - Health	12/27/2023	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	12/27/2023	4/15/2025
Inactive	CareSource Kentucky Co.	838179	Agent - Health	11/17/2021	4/7/2023
Active	Golden Rule Insurance Company	301943	Agent - Health	9/13/2021
Active	Golden Rule Insurance Company	301943	Agent - Life	9/13/2021
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	2/19/2024
Inactive	WellCare Health Plans of Kentucky, Inc.	838592	Agent - Health	11/8/2021	12/22/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	HealthMarkets Insurance Agency Inc	709727	Agent - Life	1/3/2022
Active	HealthMarkets Insurance Agency Inc	709727	Agent - Health	1/3/2022