DEPARTMENT OF INSURANCE
Affiliations
NameBrazill, Timothy MichaelDOIID934883NAIC NPN625137
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentHealth10/26/20168/27/2020 
InactiveNon ResidentAgentLife10/26/20168/27/2020 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveCombined Insurance Company of America301472Agent - Health12/22/20168/3/2020
InactiveCombined Insurance Company of America301472Agent - Life12/22/20168/3/2020
InactiveMetropolitan Life Insurance Company301948Agent - Health4/19/20178/27/2020
InactiveMetropolitan Life Insurance Company301948Agent - Life4/19/20178/27/2020
InactiveProvident Life and Accident Insurance Company301525Agent - Health11/1/20168/27/2020
InactiveProvident Life and Accident Insurance Company301525Agent - Life11/1/20168/27/2020
InactiveUNUM Life Insurance Company of America300817Agent - Health11/1/20168/27/2020
InactiveUNUM Life Insurance Company of America300817Agent - Life11/1/20168/27/2020
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveWillis Of Florida Inc652212Agent - Life11/4/201612/30/2019
InactiveWillis Of Florida Inc652212Agent - Health11/4/20161/10/2020
InactiveWillis Towers Watson Southeast Inc399919Agent - Life1/31/20207/24/2020
InactiveWillis Towers Watson Southeast Inc399919Agent - Health1/31/20207/24/2020

© Commonwealth of Kentucky. All rights reserved.