DEPARTMENT OF INSURANCE

Affiliations

Name	Brock, Stephen C	DOIID	380804	NAIC NPN	7204937

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	7/19/1991	4/1/2005
Inactive	Resident	Agent	Life	7/19/1991	4/1/2005
* 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	Bankers United Life Assurance Company	300296	Agent - Health	1/20/1993	1/19/1996
Inactive	Bankers United Life Assurance Company	300296	Agent - Life	1/20/1993	1/19/1996
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	4/14/1998	12/11/2002
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	4/14/1998	12/11/2002
Inactive	Conseco Health Insurance Company	301725	Agent - Health	9/6/2000	4/7/2003
Inactive	Conseco Health Insurance Company	301725	Agent - Life	9/6/2000	4/7/2003
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Health	4/14/1998	12/11/2002
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	4/14/1998	12/11/2002
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	3/23/1994	12/15/1999
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	3/23/1994	12/15/1999
Inactive	Jackson National Life Insurance Company	300486	Agent - Health	2/27/1996	9/29/2000
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	2/27/1996	9/29/2000
Inactive	Kanawha Insurance Company	300127	Agent - Health	5/1/1995	10/24/1996
Inactive	Kanawha Insurance Company	300127	Agent - Life	5/1/1995	10/24/1996
Inactive	Life Insurance Company of Alabama	301439	Agent - Health	5/19/1995	3/31/1997
Inactive	Life Insurance Company of Alabama	301439	Agent - Life	5/19/1995	3/31/1997
Inactive	LifeSecure Insurance Company	301629	Agent - Health	5/15/1997	6/23/1998
Inactive	LifeSecure Insurance Company	301629	Agent - Life	5/15/1997	6/23/1998
Inactive	Lincoln Heritage Life Insurance Company	500016	Agent - Life	3/24/1997	8/25/1997
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	4/29/1999	6/17/2002
Inactive	Loyal American Life Insurance Company	301172	Agent - Life	4/29/1999	3/21/2001
Inactive	ManhattanLife Insurance and Annuity Company	301795	Agent - Health	8/6/1998	12/27/2000
Inactive	ManhattanLife Insurance and Annuity Company	301795	Agent - Life	8/6/1998	12/27/2000
Inactive	Midland National Life Insurance Company	300923	Agent - Health	5/10/1995	7/14/1997
Inactive	Midland National Life Insurance Company	300923	Agent - Life	5/10/1995	7/14/1997
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	8/5/1997	5/10/2002
Inactive	National Foundation Life Insurance Company	300084	Agent - Health	8/6/1996	3/29/1999
Inactive	National Foundation Life Insurance Company	300084	Agent - Life	8/6/1996	3/29/1999
Inactive	Pioneer Life Insurance Company	300110	Agent - Health	7/14/1997	10/23/2002
Inactive	Pioneer Life Insurance Company	300110	Agent - Life	7/14/1997	10/23/2002
Inactive	Protective Life Insurance Company	300638	Agent - Health	8/10/1994	1/30/2004
Inactive	Protective Life Insurance Company	300638	Agent - Life	8/10/1994	1/30/2004
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	5/11/2000	9/4/2001
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	5/11/2000	9/4/2001
Inactive	Trustmark Insurance Company	300317	Agent - Health	10/20/1992	3/31/1997
Inactive	Trustmark Insurance Company	300317	Agent - Life	10/20/1992	3/31/1997

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	B.R.& W. Insurance Corp	399500	Agent - Life	7/7/1997	1/30/2004
Inactive	B.R.& W. Insurance Corp	399500	Agent - Health	7/7/1997	1/30/2004
Inactive	Cornerstone Financial Corporation	399864	Agent - Life	4/4/1995	8/12/1996
Inactive	Cornerstone Financial Corporation	399864	Agent - Health	4/4/1995	8/12/1996
Inactive	Frank Bradshaw Co	399179	Agent - Life	7/19/1991	8/10/2000
Inactive	Frank Bradshaw Co	399179	Agent - Health	7/19/1991	8/10/2000