DEPARTMENT OF INSURANCE

Affiliations

Name	Brooks, Melvin B	DOIID	322834	NAIC NPN	7169082

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	11/19/1992	6/30/2003
Inactive	Resident	Agent	Health Maintenance Organization	11/19/1992	3/1/2001
Inactive	Resident	Agent	Life	11/19/1992	6/30/2003
* 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
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	9/5/1996	6/30/2003
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	9/5/1996	6/30/2003
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	4/20/2001	2/26/2003
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	4/20/2001	2/26/2003
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	6/16/1998	12/18/1998
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	6/16/1998	12/18/1998
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/1/2001	4/1/2002
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	11/19/1992	3/1/2001
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	1/12/1993	3/31/1998
Inactive	Anthem Life Insurance Company	301209	Agent - Health	8/25/1999	6/30/2003
Inactive	Anthem Life Insurance Company	301209	Agent - Life	8/25/1999	6/30/2003
Inactive	Citizens Security Life Insurance Company	301257	Agent - Health	6/23/1997	6/30/2003
Inactive	Citizens Security Life Insurance Company	301257	Agent - Life	6/23/1997	3/8/2001
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	6/12/1998	7/9/1999
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	6/12/1998	7/9/1999
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/1/2001	6/30/2003
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	10/18/1999	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	10/5/1999	6/30/2003
Inactive	Humana Insurance Company	301104	Agent - Life	10/5/1999	6/30/2003
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Health	12/1/1998	6/30/2003
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Life	12/1/1998	6/30/2003
Inactive	LifeUSA Insurance Company	300386	Agent - Health	9/5/1996	8/2/2002
Inactive	LifeUSA Insurance Company	300386	Agent - Life	9/5/1996	8/2/2002
Inactive	Medical Life Insurance Company	300693	Agent - Health	11/19/1992	12/31/2004
Inactive	Medical Life Insurance Company	300693	Agent - Life	11/19/1992	12/31/2004
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	1/25/1993	3/31/1999
Inactive	National Guardian Life Insurance Company	300596	Agent - Life	1/25/1993	3/31/1999

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	8/17/1999	2/28/2003
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	8/17/1999	2/28/2003