DEPARTMENT OF INSURANCE

Affiliations

Name	Brock Jr, Harold L	DOIID	393846	NAIC NPN	260049

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	8/2/2018		12/31/2025
Active	Non Resident	Agent	Health	8/2/2018		12/31/2025
Inactive	Resident	Temporary Agent	Ordinary Life (Temporary Life)	10/22/1996	1/16/1997
Inactive	Resident	Temporary Agent	Debit (Temporary Health)	10/22/1996	1/16/1997
* 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	ACE American Insurance Company	300625	Agent - Health	10/7/2016	12/31/2017
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	1/15/2016	12/31/2017
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	1/26/2020
Inactive	Aetna Life Insurance Company	301140	Agent - Health	1/15/2016	12/31/2017
Inactive	Aetna Life Insurance Company	301140	Agent - Life	1/15/2016	12/31/2017
Inactive	American Continental Insurance Company	643130	Agent - Life	1/26/2020	8/11/2021
Inactive	American Investors Life Insurance Company, Inc.	301358	Agent - Life	7/27/2004	9/26/2005
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Health	7/20/2004	10/7/2009
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	7/20/2004	10/7/2009
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/20/2019	12/16/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/20/2019	12/16/2024
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Health	10/24/2006	7/12/2007
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	10/24/2006	7/12/2007
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Health	4/29/2002	7/1/2002
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Life	4/29/2002	7/1/2002
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Health	8/19/2004	7/8/2005
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Life	8/19/2004	7/8/2005
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	12/30/2004	5/25/2006
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	12/30/2004	5/25/2006
Inactive	Citizens Security Life Insurance Company	301257	Agent - Health	6/22/2005	9/8/2008
Inactive	Citizens Security Life Insurance Company	301257	Agent - Life	6/22/2005	9/8/2008
Inactive	Colorado Bankers Life Insurance Company	301845	Agent - Health	5/18/2006	11/27/2007
Inactive	Colorado Bankers Life Insurance Company	301845	Agent - Life	5/18/2006	11/27/2007
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	11/10/2014	3/23/2016
Inactive	Companion Life Insurance Company	300191	Agent - Health	6/20/2011	12/23/2013
Inactive	Companion Life Insurance Company	300191	Agent - Life	6/20/2011	12/23/2013
Inactive	Conseco Health Insurance Company	301725	Agent - Health	10/17/2002	5/28/2004
Inactive	Conseco Health Insurance Company	301725	Agent - Life	10/17/2002	5/28/2004
Inactive	Continental American Insurance Company	301700	Agent - Health	1/17/2019	9/30/2019
Inactive	Continental American Insurance Company	301700	Agent - Life	1/17/2019	9/30/2019
Inactive	Continental General Insurance Company	300691	Agent - Health	3/15/2006	11/28/2008
Inactive	Continental General Insurance Company	300691	Agent - Life	3/15/2006	11/28/2008
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	1/26/2020
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	11/7/2007	5/10/2010
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	11/10/2014	3/23/2016
Inactive	Encova Life Insurance Company	301818	Agent - Life	11/20/2002	12/29/2014
Inactive	Federal Insurance Company	301144	Agent - Health	10/7/2016	12/31/2017
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	1/15/2016	12/31/2017
Inactive	Golden Rule Insurance Company	301943	Agent - Health	1/20/2015	9/24/2017
Inactive	Golden Rule Insurance Company	301943	Agent - Life	1/20/2015	9/24/2017
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	9/21/2018	12/28/2018
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	9/21/2018	12/28/2018
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/10/2014	11/17/2016
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/10/2014	11/17/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/10/2014	11/17/2016
Inactive	Humana Insurance Company	301104	Agent - Health	11/10/2014	11/17/2016
Inactive	Humana Insurance Company	301104	Agent - Life	11/10/2014	11/17/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/10/2014	11/17/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/10/2014	11/17/2016
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	11/10/2014	11/17/2016
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	11/17/2016
Inactive	Kanawha Insurance Company	300127	Agent - Health	7/26/2011	2/13/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	7/26/2011	2/13/2014
Inactive	Loyal Christian Benefit Association	300958	Agent - Health	10/7/2015	12/31/2017
Inactive	Midland National Life Insurance Company	300923	Agent - Life	11/8/2004	3/28/2011
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	7/18/2011	12/26/2012
Inactive	National Health Insurance Company	300554	Agent - Health	6/18/2015	12/31/2017
Inactive	National Health Insurance Company	300554	Agent - Life	6/18/2015	12/31/2017
Inactive	Occidental Life Insurance Company of North Carolina	301185	Agent - Health	2/13/2004	4/30/2009
Inactive	Occidental Life Insurance Company of North Carolina	301185	Agent - Life	2/13/2004	4/30/2009
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	2/1/2007	11/5/2011
Inactive	Pioneer American Insurance Company	301268	Agent - Health	5/18/2010	12/31/2017
Inactive	Pioneer American Insurance Company	301268	Agent - Life	5/18/2010	12/31/2017
Inactive	Pioneer Security Life Insurance Company	301344	Agent - Health	1/19/2007	12/16/2009
Inactive	Pioneer Security Life Insurance Company	301344	Agent - Life	1/19/2007	12/16/2009
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/11/2015	12/31/2017
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	5/29/2015	5/15/2016
Inactive	Time Insurance Company	300683	Agent - Health	1/15/2013	12/20/2014
Inactive	Time Insurance Company	300683	Agent - Life	1/15/2013	12/20/2014
Inactive	Unified Life Insurance Company	543169	Agent - Health	5/28/2019	10/22/2020
Inactive	United American Insurance Company	300910	Agent - Health	3/1/2001	7/1/2002
Inactive	United American Insurance Company	300910	Agent - Life	3/1/2001	7/1/2002
Active	United States Fire Insurance Company	582240	Agent - Health	11/4/2024
Inactive	United Teacher Associates Insurance Company	300747	Agent - Health	11/29/2004	11/28/2007
Inactive	United Teacher Associates Insurance Company	300747	Agent - Life	11/29/2004	11/28/2007
Inactive	United World Life Insurance Company	300532	Agent - Health	9/19/2007	12/15/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	7/18/2011	12/26/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	7/18/2011	12/26/2012
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	6/14/2006	6/11/2007
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	6/14/2006	6/11/2007
Inactive	Western and Southern Life Insurance Company	301744	Agent - Health	1/16/1997	2/2/1998
Inactive	Western and Southern Life Insurance Company	301744	Agent - Life	1/16/1997	2/2/1998
Inactive	Western and Southern Life Insurance Company	301744	Temporary Agent - Debit (Temporary Health)	10/22/1996	1/16/1997
Inactive	Western and Southern Life Insurance Company	301744	Temporary Agent - Ordinary Life (Temporary Life)	10/22/1996	1/16/1997
Inactive	Western-Southern Life Assurance Company	301590	Agent - Health	1/16/1997	2/2/1998
Inactive	Western-Southern Life Assurance Company	301590	Agent - Life	1/16/1997	2/2/1998
Inactive	Wilco Life Insurance Company	300122	Agent - Life	4/7/1999	5/1/2002

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Workers Ins Services Inc	723800	Agent - Life	5/8/2019
Active	American Workers Ins Services Inc	723800	Agent - Health	5/8/2019
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	12/17/2007	6/20/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	12/17/2007	6/20/2008
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/27/2008	12/29/2009
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/27/2008	12/29/2009
Active	Health Insurance King Agency, LLC	1086799	Agent - Life	6/19/2020
Active	Health Insurance King Agency, LLC	1086799	Agent - Health	6/19/2020
Active	National Individual Insurance Agency, Llc	1049053	Agent - Life	7/29/2019
Active	National Individual Insurance Agency, Llc	1049053	Agent - Health	7/29/2019