DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Brock, Sandra G	DOIID	343996	NAIC NPN	7188773

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	2/3/1998		4/30/2027
Active	Resident	Agent	Health	2/3/1998		4/30/2027
Active	Resident	Agent	Limited Line Credit	8/7/2000		4/30/2027
Inactive	Resident	Agent	Credit Life & Health	2/7/1997	8/7/2000
* 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	02/15/2025	04/30/2025	01/24/2025	01/24/2025	Yes

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 - Life	12/31/2012
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	3/22/2007	11/10/2011
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	3/22/2007	11/10/2011
Active	Investors Heritage Life Insurance Company	300363	Agent - Health	8/11/2003
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	8/11/2003	8/17/2020
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	8/11/2003	8/17/2020
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Credit Life & Health	11/24/1998	5/10/1999
Active	Kentucky Home Life Insurance Company	300477	Agent - Health	6/22/2022
Active	Kentucky Home Life Insurance Company	300477	Agent - Life	6/22/2022
Active	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	10/22/2019
Inactive	Liberty Life Insurance Company	301542	Agent - Health	2/3/1998	7/15/2002
Inactive	Liberty Life Insurance Company	301542	Agent - Life	2/3/1998	7/15/2002
Inactive	National Guardian Life Insurance Company	300596	Agent - Credit Life & Health	2/7/1997	12/1/1998
Inactive	Southern Financial Life Insurance Company	300664	Agent - Credit Life & Health	3/11/1999	8/7/2000
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	8/7/2000	12/26/2002
Inactive	Western National Life Insurance Company	300461	Agent - Life	6/8/2001	12/31/2012
Inactive	Western-Southern Life Assurance Company	301590	Agent - Health	7/19/2001	4/29/2002
Inactive	Western-Southern Life Assurance Company	301590	Agent - Life	7/19/2001	4/29/2002

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	United Community Bank Of West Kentucky Inc	542036	Agent - Life	6/23/2022	3/31/2023
Inactive	United Community Bank Of West Kentucky Inc	542036	Agent - Health	6/23/2022	3/31/2023
Inactive	United Community Bank Of West Kentucky Inc	542036	Agent - Limited Line Credit	3/18/2022	3/31/2023