DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Brooks, Carlissa April	DOIID	1195867	NAIC NPN	20165491

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	5/1/2026		2/29/2028
Active	Non Resident	Agent	Life	5/1/2026		2/29/2028
* 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
Active	CMFG Life Insurance Company	300929	Agent - Health	5/6/2026
Active	CMFG Life Insurance Company	300929	Agent - Life	5/6/2026
Active	MEMBERS Life Insurance Company	301289	Agent - Health	5/6/2026
Active	MEMBERS Life Insurance Company	301289	Agent - Life	5/6/2026
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	8/5/2022	3/1/2023
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	8/5/2022	3/1/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Trubridge Inc	717747	Agent - Health