black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

BRENT ALLEN FORD

PRODUCER NON-RESIDENT

License Number:
PRN374877
Status:
First Licensure:
02/09/2021
Cancel Date:
None

Mailing:
CHIPPEWA FALLS, WI 54729
Phone:
+1 (715) 944-5298
Fax:
+1 (866) 864-9351
Email:
brent@yourbrp.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 02/09/2021

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
ATHENE ANNUITY AND LIFE COMPANY
05/19/2022 LHF64369
FIDELITY & GUARANTY LIFE INSURANCE COMPANY
01/11/2023 LHF168 11/13/2023

Authority

Description Issue Date Termination Date Status
LIFE 02/09/2021 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
10728504

Other Addresses

Address Type
CHIPPEWA FALLS, WI 54729
Office

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 05/23/2025 05:03:09 PM