DEPARTMENT OF INSURANCE

Affiliations

Name	Brookoff, Barry Steve	DOIID	361884	NAIC NPN	27210

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	General Lines	8/12/1997	3/31/1998
Inactive	Non Resident	Agent	Health	11/14/2012	12/31/2018
Inactive	Non Resident	Agent	Life	11/14/2012	12/31/2018
* 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	AXA XL Insurance Company Americas	300979	Agent - Health	7/8/2015	2/11/2016
Inactive	AXIS Insurance Company	301290	Agent - Health	9/21/2016	12/31/2018
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	10/26/2016	12/31/2018
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/26/2016	12/31/2018
Inactive	Aetna Life Insurance Company	301140	Agent - Life	10/26/2016	12/31/2018
Inactive	American Financial Security Life Insurance Co.	301635	Agent - Health	12/14/2015	2/12/2019
Inactive	American Financial Security Life Insurance Co.	301635	Agent - Life	12/14/2015	2/12/2019
Inactive	American Security Insurance Company	300901	Agent - General Lines	8/12/1997	3/31/1998
Inactive	Combined Insurance Company of America	301472	Agent - Health	1/28/2014	3/10/2016
Inactive	Combined Insurance Company of America	301472	Agent - Life	1/28/2014	3/10/2016
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	9/24/2014	3/23/2016
Inactive	Companion Life Insurance Company	300191	Agent - Health	7/26/2016	11/13/2017
Inactive	Companion Life Insurance Company	300191	Agent - Life	4/23/2013	6/8/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/24/2014	3/23/2016
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	10/26/2016	12/31/2018
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	3/22/2013	5/8/2015
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	3/22/2013	5/8/2015
Inactive	Golden Rule Insurance Company	301943	Agent - Health	12/4/2014	7/10/2015
Inactive	Golden Rule Insurance Company	301943	Agent - Life	12/4/2014	7/10/2015
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	12/5/2016	12/4/2018
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	12/5/2016	12/4/2018
Inactive	HCC Life Insurance Company	301827	Agent - Health	10/30/2015	10/3/2016
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/3/2016	12/31/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/3/2016	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/3/2016	12/31/2018
Inactive	Humana Insurance Company	301104	Agent - Health	11/3/2016	12/31/2018
Inactive	Humana Insurance Company	301104	Agent - Life	11/3/2016	12/31/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/2/2013	3/23/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	7/2/2013	3/23/2016
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	11/3/2016	12/31/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	11/3/2016	12/31/2018
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/24/2014	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	9/24/2014	10/22/2015
Inactive	Loyal Christian Benefit Association	300958	Agent - Health	10/6/2016	11/20/2017
Inactive	Starr Indemnity and Liability Company	301685	Agent - Health	4/7/2015	6/9/2015
Inactive	Time Insurance Company	300683	Agent - Health	1/23/2014	8/9/2015
Inactive	Time Insurance Company	300683	Agent - Life	1/23/2014	8/9/2015
Inactive	Unified Life Insurance Company	543169	Agent - Health	10/20/2015	11/9/2017
Inactive	Union Fidelity Life Insurance Company	301136	Agent - Health	9/25/1997	12/29/1997
Inactive	Union Fidelity Life Insurance Company	301136	Agent - Life	9/25/1997	12/29/1997
Inactive	Union Security Life Insurance Company	300903	Agent - Health	8/12/1997	2/2/1998
Inactive	Union Security Life Insurance Company	300903	Agent - Life	8/12/1997	2/2/1998
Inactive	United States Fire Insurance Company	582240	Agent - Health	2/5/2013	7/12/2015
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/28/2016	11/29/2017
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/28/2016	11/29/2017
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/28/2016	11/29/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AHB Sales LLC	787451	Agent - Life	3/22/2013	3/31/2016
Inactive	AHB Sales LLC	787451	Agent - Health	2/13/2013	3/31/2016
Inactive	Homeland Healthcare, LLC	736705	Agent - Life	3/22/2013	12/9/2015
Inactive	Homeland Healthcare, LLC	736705	Agent - Health	2/14/2013	12/9/2015