DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Gerlock Inc. DBA : Gerlock & Associates	DOIID	399043	NAIC NPN	2108343

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	7/21/2003	1/1/2007
Inactive	Non Resident	Agent	Health	7/21/2003	1/1/2007
* 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	Peoples Benefit Life Insurance Company	301895	Agent - Health	7/27/1998	5/31/2003
Inactive	Peoples Benefit Life Insurance Company	301895	Agent - Life	7/27/1998	5/31/2003
Inactive	Time Insurance Company	300683	Agent - Health	7/28/2003	1/1/2007
Inactive	Time Insurance Company	300683	Agent - Life	7/28/2003	1/1/2007
Inactive	Union Security Insurance Company	301844	Agent - Health	10/7/1998	12/27/2000
Inactive	Union Security Insurance Company	301844	Agent - Life	10/7/1998	12/27/2000

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Gerlock, Wayne E	363557	Agent - Health	7/21/2003	10/31/2006
Inactive	Gerlock, Wayne E	363557	Agent - Life	7/21/2003	10/31/2006