DEPARTMENT OF INSURANCE

Affiliations

Name	Carroll, Bryan Maurice	DOIID	359060	NAIC NPN	7195457

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Adjuster	Independent	9/26/2002	4/27/2008
Active	Resident	Agent	Casualty	7/30/2007		8/31/2026
Active	Resident	Agent	Life	7/30/2007		8/31/2026
Active	Resident	Agent	Health	7/30/2007		8/31/2026
Active	Resident	Agent	Property	7/30/2007		8/31/2026
Inactive	Resident	Agent	Credit Life & Health	1/12/1994	4/8/1996
Inactive	Resident	Agent	General Lines	8/8/1996	12/13/1997
Inactive	Resident	Apprentice Adjuster	Not Applicable	9/15/1997	3/31/1998
* 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	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	9/23/2016	4/13/2023
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	9/23/2016	4/13/2023
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	11/2/2007	12/31/2018
Active	American Heritage Life Insurance Company	300272	Agent - Life	11/2/2007
Active	American Modern Home Insurance Company	300791	Agent - Casualty	1/26/2023
Active	American Modern Home Insurance Company	300791	Agent - Property	1/26/2023
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	11/14/2018
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	11/14/2018
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	3/22/2016	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	3/22/2016	11/14/2021
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/31/2025
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/12/2021
Inactive	Assurity Life Insurance Company	301099	Agent - Health	10/25/2007	1/22/2009
Inactive	Assurity Life Insurance Company	301099	Agent - Life	10/25/2007	1/22/2009
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	2/11/2008	12/20/2024
Inactive	Bristol West Insurance Company	301655	Agent - Property	2/11/2008	12/20/2024
Inactive	Crown Life Insurance Company	300151	Agent - Health	10/14/1994	3/31/1997
Inactive	Crown Life Insurance Company	300151	Agent - Life	10/14/1994	3/31/1997
Active	Dairyland Insurance Company	301370	Agent - Casualty	9/6/2007
Active	Dairyland Insurance Company	301370	Agent - Property	9/6/2007
Active	FB Insurance Company (The)	301763	Agent - Casualty	7/30/2007
Inactive	FB Insurance Company (The)	301763	Agent - General Lines	8/8/1996	12/13/1997
Active	FB Insurance Company (The)	301763	Agent - Health	7/30/2007
Active	FB Insurance Company (The)	301763	Agent - Property	7/30/2007
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	9/11/2007
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	9/11/2007
Inactive	Franklin Life Insurance Company (The)	300779	Agent - Credit Life & Health	1/12/1994	4/8/1996
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	12/28/2011	11/8/2013
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	12/28/2011	11/8/2013
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Health	1/11/1995	2/28/1996
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	1/11/1995	2/28/1996
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	7/30/2007
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - General Lines	8/8/1996	11/13/1997
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Health	7/30/2007
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	7/30/2007
Inactive	Pruco Life Insurance Company	300954	Agent - Health	5/31/1996	3/31/1997
Inactive	Pruco Life Insurance Company	300954	Agent - Life	5/31/1996	3/31/1997
Inactive	Prudential Insurance Company of America	300784	Agent - Health	5/31/1996	3/31/1997
Inactive	Prudential Insurance Company of America	300784	Agent - Life	5/31/1996	3/31/1997
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	7/30/2007
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	7/30/2007
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	5/2/2011	6/23/2017
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	5/2/2011	6/23/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Bryan Carroll LLC	715340	Agent - Life	10/9/2009
Active	Bryan Carroll LLC	715340	Agent - Health	10/9/2009
Active	Bryan Carroll LLC	715340	Agent - Casualty	10/9/2009
Active	Bryan Carroll LLC	715340	Agent - Property	10/9/2009
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/11/2013	2/13/2025
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/11/2013	2/13/2025
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - General Lines	8/16/1996	11/13/1997
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	8/28/2007
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	8/28/2007
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	8/28/2007
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	8/28/2007
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Adjuster - Independent	9/26/2002	4/27/2008
Active	Southern Capital Brokerage Co LLC	577403	Agent - Life	9/20/2016
Active	Southern Capital Brokerage Co LLC	577403	Agent - Health	9/20/2016