DEPARTMENT OF INSURANCE

Affiliations

Name	Brown, Jack W	DOIID	381387	NAIC NPN	2823922

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Health	1/29/1996	7/31/2026
Active	Resident	Agent	Life	1/29/1996	7/31/2026
* 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
Active	ACE Property and Casualty Insurance Company	300520	Agent - Health	7/7/2021
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	1/10/2002	7/24/2002
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	1/10/2002	7/24/2002
Inactive	American Equity Investment Life Insurance Company	300389	Agent - Life	12/1/1998	1/5/1999
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	1/29/1996	4/13/2024
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	1/29/1996	4/13/2024
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	7/15/2003	10/30/2018
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	7/15/2003	10/30/2018
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Health	3/9/2001	7/24/2002
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	3/9/2001	7/24/2002
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/31/2025
Active	Boston Mutual Life Insurance Company	300143	Agent - Health	9/2/2010
Active	Boston Mutual Life Insurance Company	300143	Agent - Life	9/2/2010
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	9/4/2013	2/14/2015
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	9/4/2013	2/14/2015
Active	Combined Insurance Company of America	301472	Agent - Health	9/17/2019
Active	Combined Insurance Company of America	301472	Agent - Life	9/17/2019
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/19/2008	9/8/2010
Inactive	CompBenefits Insurance Company	301864	Agent - Health	10/19/2008	9/9/2010
Inactive	CompBenefits Insurance Company	301864	Agent - Life	10/19/2008	9/9/2010
Inactive	Continental American Insurance Company	301700	Agent - Health	9/11/2014	7/16/2024
Inactive	Continental American Insurance Company	301700	Agent - Life	9/11/2014	7/16/2024
Inactive	Dearborn Life Insurance Company	300401	Agent - Health	4/18/2006	8/27/2015
Inactive	Dearborn Life Insurance Company	300401	Agent - Life	4/18/2006	8/27/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	6/21/2010	9/8/2010
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Health	12/18/2019	4/22/2021
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Life	12/18/2019	4/22/2021
Inactive	Golden Rule Insurance Company	301943	Agent - Health	12/4/2001	11/10/2008
Inactive	Golden Rule Insurance Company	301943	Agent - Life	12/4/2001	11/10/2008
Inactive	Guarantee Reserve Life Insurance Company	300608	Agent - Health	2/26/2001	8/12/2001
Inactive	Guarantee Reserve Life Insurance Company	300608	Agent - Life	2/26/2001	8/12/2001
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/19/2008	9/8/2010
Inactive	Humana Insurance Company	301104	Agent - Health	8/8/2018	6/4/2019
Inactive	Humana Insurance Company	301104	Agent - Life	8/8/2018	6/4/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/19/2008	9/9/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/19/2008	9/9/2010
Active	Illinois Mutual Life Insurance Company	301479	Agent - Health	2/10/2017
Active	Illinois Mutual Life Insurance Company	301479	Agent - Life	2/10/2017
Inactive	John Alden Life Insurance Company	300573	Agent - Health	3/31/2004	12/29/2010
Inactive	John Alden Life Insurance Company	300573	Agent - Life	3/31/2004	12/29/2010
Inactive	Kanawha Insurance Company	300127	Agent - Health	11/6/2009	9/9/2010
Inactive	Kanawha Insurance Company	300127	Agent - Life	11/6/2009	9/9/2010
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Health	3/23/2001	7/15/2002
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Life	3/23/2001	7/15/2002
Inactive	Life Investors Insurance Company of America	301793	Agent - Health	5/5/2004	4/23/2008
Inactive	Life Investors Insurance Company of America	301793	Agent - Life	5/5/2004	4/23/2008
Inactive	LifeUSA Insurance Company	300386	Agent - Health	11/9/1998	1/5/1999
Inactive	LifeUSA Insurance Company	300386	Agent - Life	11/9/1998	1/5/1999
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	9/1/2014	11/17/2015
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	9/1/2014	11/17/2015
Active	Metropolitan Life Insurance Company	301948	Agent - Health	9/5/2017
Active	Metropolitan Life Insurance Company	301948	Agent - Life	9/5/2017
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	5/25/2008	3/31/2011
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Life	5/25/2008	7/17/2012
Inactive	Professional Insurance Company	301281	Agent - Health	8/25/2004	6/20/2006
Inactive	Professional Insurance Company	301281	Agent - Life	8/25/2004	6/20/2006
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	4/7/2025
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	4/7/2025
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	7/20/2016	12/18/2020
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	7/20/2016	12/18/2020
Inactive	Royal Neighbors of America	301646	Agent - Life	4/21/2009	1/25/2012
Inactive	Security Mutual Life Insurance Company of NY	300708	Agent - Life	3/26/2019	1/5/2023
Active	Standard Insurance Company	300185	Agent - Health	4/20/2017
Active	Standard Insurance Company	300185	Agent - Life	4/20/2017
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	3/20/2009	9/7/2010
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	3/20/2009	9/7/2010
Active	Starmount Life Insurance Company	628031	Agent - Health	4/7/2025
Active	Transamerica Life Insurance Company	300571	Agent - Health	10/4/2011
Active	Transamerica Life Insurance Company	300571	Agent - Life	10/4/2011
Active	Trustmark Insurance Company	300317	Agent - Health	2/17/2003
Active	Trustmark Insurance Company	300317	Agent - Life	2/17/2003
Active	UNUM Life Insurance Company of America	300817	Agent - Health	4/7/2025
Active	UNUM Life Insurance Company of America	300817	Agent - Life	4/7/2025
Inactive	Union Security Insurance Company	301844	Agent - Health	8/13/2004	2/4/2021
Inactive	Union Security Insurance Company	301844	Agent - Life	8/13/2004	2/4/2021
Inactive	United American Insurance Company	300910	Agent - Health	12/18/2019	4/22/2021
Inactive	United American Insurance Company	300910	Agent - Life	12/18/2019	4/22/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	5/25/2008	3/31/2011
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	5/25/2008	6/7/2021
Active	Unum Insurance Company	301499	Agent - Health	4/7/2025
Active	Unum Insurance Company	301499	Agent - Life	4/7/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/9/2013	2/13/2025
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/9/2013	2/13/2025
Inactive	Hodges-Mace LLC	1059189	Agent - Life	11/13/2024	12/5/2024
Inactive	Hodges-Mace LLC	1059189	Agent - Health	11/13/2024	12/5/2024
Active	Toohey Insurance Services LLC	698417	Agent - Life	10/7/2009
Active	Toohey Insurance Services LLC	698417	Agent - Health	10/7/2009