DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Allen, Brack	DOIID	368203	NAIC NPN	7199424

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	8/21/2000
Inactive	Resident	Agent	Health	9/11/2000	7/1/2004
Inactive	Resident	Agent	Life	8/31/2000	7/1/2004
Inactive	Resident	Agent	Credit Life & Health	11/4/1999	8/7/2000
* 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	American General Life and Accident Insurance Company	301362	Agent - Health	5/30/2002	11/15/2002
Inactive	American General Life and Accident Insurance Company	301362	Agent - Life	5/30/2002	11/15/2002
Inactive	Genworth Life Insurance Company	300623	Agent - Health	6/19/2001	7/1/2004
Inactive	Genworth Life Insurance Company	300623	Agent - Life	6/19/2001	7/1/2004
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Credit Life & Health	11/4/1999	8/7/2000
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Health	9/11/2000	7/1/2004
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	8/7/2000	8/21/2000
Inactive	Liberty Life Insurance Company	301542	Agent - Health	9/11/2000	11/30/2001
Inactive	Liberty Life Insurance Company	301542	Agent - Life	8/31/2000	11/30/2001
Inactive	Life Insurance Company of the Southwest	301867	Agent - Health	8/13/2001	7/1/2004
Inactive	Life Insurance Company of the Southwest	301867	Agent - Life	8/13/2001	7/1/2004
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	10/15/2002	11/26/2003
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	10/15/2002	11/26/2003
Inactive	Western National Life Insurance Company	300461	Agent - Life	9/23/2002	12/31/2002

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Medlink Inc	400721	Agent - Life	9/12/2002	7/1/2004
Inactive	Medlink Inc	400721	Agent - Health	9/12/2002	7/1/2004