DEPARTMENT OF INSURANCE

Affiliations

Name	Brooks, Melvin Wright	DOIID	376083	NAIC NPN	7202862

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	4/30/1982	11/1/2008
Inactive	Resident	Agent	Life	4/30/1982	11/1/2008
Inactive	Resident	Agent	Health Maintenance Organization	5/12/1988	3/1/2001
* 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	Advantage Care, Inc.	300998	Agent - Health Maintenance Organization	5/7/1998	12/1/2000
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	9/5/1996	2/18/2002
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	9/5/1996	2/18/2002
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Health	5/5/1995	12/16/1996
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Life	5/5/1995	12/16/1996
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	6/8/1994	11/1/2008
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	6/8/1994	11/1/2008
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/1/2001	11/1/2008
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	5/12/1988	3/1/2001
Inactive	Anthem Life Insurance Company	301209	Agent - Health	2/15/2000	11/1/2008
Inactive	Anthem Life Insurance Company	301209	Agent - Life	2/15/2000	11/1/2008
Inactive	Brighthouse Life Insurance Company	301829	Agent - Health	9/30/1993	2/10/2003
Inactive	Brighthouse Life Insurance Company	301829	Agent - Life	9/30/1993	2/10/2003
Inactive	CHA HMO, Inc.	300662	Agent - Health	2/1/2002	11/29/2004
Inactive	Canada Life Assurance Company	301192	Agent - Health	8/23/2002	12/14/2004
Inactive	Canada Life Assurance Company	301192	Agent - Life	8/23/2002	12/14/2004
Inactive	Columbian Life Insurance Company	300810	Agent - Health	4/15/2004	11/1/2008
Inactive	Columbian Life Insurance Company	300810	Agent - Life	4/15/2004	11/1/2008
Inactive	Dearborn Life Insurance Company	300401	Agent - Health	12/31/2004	11/1/2008
Inactive	Dearborn Life Insurance Company	300401	Agent - Life	12/31/2004	11/1/2008
Inactive	Emphesys Insurance Company	300598	Agent - Health	6/30/1997	3/31/1999
Inactive	Emphesys Insurance Company	300598	Agent - Life	6/30/1997	3/31/1999
Inactive	Forethought Life Insurance Company	301407	Agent - Life	4/6/2004	11/1/2008
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	5/9/2006	11/1/2008
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	5/6/1994	3/1/2001
Inactive	Humana Insurance Company	300118	Agent - Health	1/30/1995	12/31/1998
Inactive	Humana Insurance Company	301104	Agent - Health	5/9/2006	11/1/2008
Inactive	Humana Insurance Company	300118	Agent - Life	1/30/1995	12/31/1998
Inactive	Humana Insurance Company	301104	Agent - Life	5/9/2006	11/1/2008
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	5/9/2006	11/1/2008
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	5/9/2006	11/1/2008
Inactive	John Alden Life Insurance Company	300573	Agent - Health	9/27/1993	3/31/1997
Inactive	John Alden Life Insurance Company	300573	Agent - Life	9/27/1993	3/31/1997
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Health	12/1/1998	4/27/2004
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Life	12/1/1998	4/27/2004
Inactive	LifeUSA Insurance Company	300386	Agent - Health	9/5/1996	2/18/2002
Inactive	LifeUSA Insurance Company	300386	Agent - Life	9/5/1996	2/18/2002
Inactive	ManhattanLife Insurance and Annuity Company	301795	Agent - Health	12/2/1998	3/19/2001
Inactive	ManhattanLife Insurance and Annuity Company	301795	Agent - Life	12/2/1998	3/19/2001
Inactive	Medical Life Insurance Company	300693	Agent - Health	8/23/1995	12/31/2004
Inactive	Medical Life Insurance Company	300693	Agent - Life	8/23/1995	12/31/2004
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	5/1/1995	11/19/2008
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	5/1/1995	11/19/2008
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	8/27/2003	2/4/2005
Inactive	National Guardian Life Insurance Company	300596	Agent - Life	8/27/2003	2/4/2005
Inactive	Paul Revere Life Insurance Company	300971	Agent - Health	12/30/1996	9/5/2000
Inactive	Paul Revere Life Insurance Company	300971	Agent - Life	12/30/1996	9/5/2000
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	11/14/1984	9/5/2000
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	11/14/1984	9/5/2000
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Life	4/22/2002	11/1/2008
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	10/1/2005	11/7/2008
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	10/1/2005	11/7/2008
Inactive	Transamerica Life Insurance and Annuity Company	300148	Agent - Health	6/5/1997	10/1/2005
Inactive	Transamerica Life Insurance and Annuity Company	300148	Agent - Life	6/5/1997	10/1/2005
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	4/29/1997	9/17/2008
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	4/29/1997	9/17/2008
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	1/19/1995	12/5/2005
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	1/19/1995	12/5/2005
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	12/9/2005	10/23/2006
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	12/9/2005	10/23/2006
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	12/9/2005	10/23/2006
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health Maintenance Organization	3/5/1998	3/1/2001
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	12/9/2005	10/23/2006
Inactive	West Coast Life Insurance Company	301607	Agent - Life	7/14/2006	11/1/2008

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 - Life	7/2/1992	6/20/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	7/2/1992	6/20/2008
Inactive	Central Kentucky Brokerage Services Inc.	603839	Agent - Life	3/28/2006	3/31/2007
Inactive	Central Kentucky Brokerage Services Inc.	603839	Agent - Health	3/28/2006	3/31/2007
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	2/20/2002	11/1/2008
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997
Inactive	Insurance One Inc.	399840	Agent - Life	7/9/1991	5/31/2004
Inactive	Insurance One Inc.	399840	Agent - Health	7/9/1991	5/31/2004