DEPARTMENT OF INSURANCE

Affiliations

Name	Bruck, Vicki	DOIID	504065	NAIC NPN	3120340

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	3/20/2000	8/31/2015
Inactive	Non Resident	Agent	Casualty	10/25/2000	8/31/2015
Inactive	Non Resident	Agent	Property	10/25/2000	8/31/2015
Inactive	Non Resident	Agent	Life	3/20/2000	8/31/2015
* 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	American General Life Insurance Company of Delaware	301057	Agent - Health	8/21/2000	2/5/2003
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	8/21/2000	2/5/2003
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Health	4/14/2006	7/29/2010
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	4/14/2006	7/29/2010
Inactive	Baltimore Life Insurance Company	300286	Agent - Health	7/19/2002	2/20/2003
Inactive	Baltimore Life Insurance Company	300286	Agent - Life	7/19/2002	2/20/2003
Inactive	Centre Insurance Company	301599	Agent - Casualty	12/6/2001	11/30/2005
Inactive	Centre Insurance Company	301599	Agent - Property	12/6/2001	11/30/2005
Inactive	Colonial Penn Life Insurance Company	300491	Agent - Health	5/17/2002	2/11/2009
Inactive	Colonial Penn Life Insurance Company	300491	Agent - Life	5/17/2002	2/11/2009
Inactive	Empire Fire and Marine Insurance Company	300666	Agent - Casualty	4/21/2010	6/5/2015
Inactive	Empire Fire and Marine Insurance Company	300666	Agent - Property	4/21/2010	6/5/2015
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Casualty	5/4/2010	6/12/2015
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Property	5/4/2010	6/12/2015
Inactive	First National Insurance Company of America	301690	Agent - Casualty	11/16/2000	11/19/2002
Inactive	First National Insurance Company of America	301690	Agent - Property	11/16/2000	11/19/2002
Inactive	General Insurance Company of America	300261	Agent - Casualty	11/16/2000	11/19/2002
Inactive	General Insurance Company of America	300261	Agent - Property	11/16/2000	11/19/2002
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Health	2/22/2002	10/5/2004
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Life	2/22/2002	10/5/2004
Inactive	Liberty Life Insurance Company	301542	Agent - Health	9/27/2005	6/30/2006
Inactive	Liberty Life Insurance Company	301542	Agent - Life	9/27/2005	6/30/2006
Inactive	Life Insurance Company of North America	300711	Agent - Health	3/20/2000	8/31/2015
Inactive	Life Insurance Company of North America	300711	Agent - Life	3/20/2000	8/31/2015
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	9/10/2004	2/1/2007
Inactive	National Guardian Life Insurance Company	300596	Agent - Life	9/10/2004	2/1/2007
Inactive	Praetorian Insurance Company	301021	Agent - Casualty	4/22/2010	6/1/2015
Inactive	Praetorian Insurance Company	301021	Agent - Property	4/22/2010	6/1/2015
Inactive	QBE Insurance Corporation	300515	Agent - Casualty	2/17/2011	6/1/2015
Inactive	QBE Insurance Corporation	300515	Agent - Property	2/17/2011	6/1/2015
Inactive	Revol One Insurance Company	300681	Agent - Health	12/12/2008	3/29/2010
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	10/25/2000	11/19/2002
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	10/25/2000	11/19/2002
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	11/16/2000	11/19/2002
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	11/16/2000	11/19/2002
Inactive	United World Life Insurance Company	300532	Agent - Health	11/16/2006	3/3/2010
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	4/30/2010	5/12/2010
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Property	4/30/2010	5/12/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	NGLS Insurance Services , Inc	399928	Agent - Property	2/26/2013	6/2/2015
Inactive	NGLS Insurance Services , Inc	399928	Agent - Casualty	2/26/2013	6/2/2015
Inactive	QBE First Enterprises LLC	610980	Agent - Life	10/16/2006	8/5/2013
Inactive	QBE First Enterprises LLC	610980	Agent - Health	10/16/2006	8/5/2013
Inactive	QBE First Enterprises LLC	610980	Agent - Property	11/1/2010	8/5/2013
Inactive	QBE First Enterprises LLC	610980	Agent - Casualty	11/1/2010	8/5/2013