DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Brock, Jackson	DOIID	1258703	NAIC NPN	20607497

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	2/28/2023		1/31/2026
Active	Non Resident	Agent	Health	2/28/2023		1/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	11/15/2025	01/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American General Life Insurance Company	301585	Agent - Health	8/15/2023
Active	American General Life Insurance Company	301585	Agent - Life	8/15/2023
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	8/9/2023	4/9/2024
Active	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	6/14/2024
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	3/3/2023	7/31/2023
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	3/3/2023	7/31/2023
Active	The Savings Bank Mutual Life Insurance Company of Massachusetts	690290	Agent - Life	6/25/2024
Active	United Home Life Insurance Company	300421	Agent - Life	6/25/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ushealth Advisors Llc	713288	Agent - Life	3/3/2023	7/31/2023
Inactive	Ushealth Advisors Llc	713288	Agent - Health	3/3/2023	7/31/2023