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	Life	1/29/1996	7/31/2026
Active	Resident	Agent	Health	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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	05/15/2026	07/31/2026

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
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Health	9/2/2010	12/29/2025
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Life	9/2/2010	12/29/2025
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