Individual Information

BOZENA L BRINKMAN

Address:

SALT LAKE CITY, UT 84121

Status:

Active

Email:

bozena.brinkman@american-national.com

Date:

09/18/1996

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	47589	10/01/2001	Active	10/01/2001	09/30/2026

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	06/09/2016	Active	06/09/2016
Health	10/01/2001	Active	10/01/2001
Life	10/01/2001	Active	10/01/2001
Property	06/09/2016	Active	06/09/2016
Var. Annuities/Var. Life	10/01/2001	Active	10/01/2001
Health	09/18/1996	Inactive	10/01/2001
Life	09/18/1996	Inactive	10/01/2001
Var. Annuities/Var. Life	09/18/1996	Inactive	10/01/2001

Company Name	Appointment Type	Status	Active Date
1097
AMERICAN NATIONAL GENERAL INSURANCE COMPANY	Casualty	Active	12/11/2023
	Property	Active	12/11/2023
63
Company Name	Appointment Type	Status	Active Date
AMERICAN NATIONAL INSURANCE COMPANY	Health	Active	02/24/2005
	Life	Active	02/24/2005
	Var. Annuities/Var. Life	Active	02/24/2005
856
Company Name	Appointment Type	Status	Active Date
AMERICAN NATIONAL PROPERTY AND CASUALTY COMPANY	Casualty	Active	12/11/2023
	Property	Active	12/11/2023
103
Company Name	Appointment Type	Status	Active Date
PRINCIPAL LIFE INSURANCE COMPANY	Health	Active	08/03/2007
	Life	Active	08/03/2007

row(s) 1 - 9 of 9

Organization	Association Type	Type	Beg dte	End dte
BRINKMAN INSURANCE AGENCY INC.	Designated Resp Lic Prdcr	Agency	12/01/2023	-

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