DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Brock, Bruce A	DOIID	389264	NAIC NPN	7208590

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	5/15/1991	1/15/1998
Inactive	Resident	Agent	Life	5/15/1991	1/15/1998
Inactive	Resident	Agent	Health Maintenance Organization	10/29/1992	1/15/1998
* 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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	10/29/1992	1/15/1998
Inactive	Anthem Life Insurance Company	301209	Agent - Health	8/2/1993	1/15/1998
Inactive	Anthem Life Insurance Company	301209	Agent - Life	8/2/1993	1/15/1998
Inactive	Canada Life Assurance Company	301192	Agent - Health	5/15/1991	3/31/1997
Inactive	Canada Life Assurance Company	301192	Agent - Life	5/15/1991	3/31/1997
Inactive	Companion Life Insurance Company	300191	Agent - Health	1/28/1992	1/15/1998
Inactive	Companion Life Insurance Company	300191	Agent - Life	1/28/1992	1/15/1998
Inactive	Delaware Life Insurance Company	301256	Agent - Life	2/9/1995	5/5/1997
Inactive	Humana Insurance Company	301104	Agent - Health	1/7/1992	1/15/1998
Inactive	Humana Insurance Company	301104	Agent - Life	1/7/1992	1/15/1998
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	6/28/1994	1/15/1998
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	3/2/1994	1/15/1998
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	3/2/1994	1/15/1998

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acordia of Louisville Inc.	401252	Agent - Life	7/2/1993	1/15/1998
Inactive	Acordia of Louisville Inc.	401252	Agent - Health	7/2/1993	1/15/1998