DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Brock, Lisa	DOIID	509166	NAIC NPN	4683820

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	5/31/2001	7/1/2002
Inactive	Resident	Agent	Life	12/14/2000	7/1/2002
* 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	Cincinnati Life Insurance Company (The)	300601	Agent - Health	11/27/2000	3/28/2002
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Life	12/14/2000	3/28/2002
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	2/23/2001	7/1/2002
Inactive	Humana Insurance Company	301104	Agent - Health	2/23/2001	7/1/2002
Inactive	Humana Insurance Company	301104	Agent - Life	2/23/2001	7/1/2002

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Schiff, Kreidler-Shell of Kentucky, Inc.	399336	Agent - Life	1/8/2001	7/1/2002
Inactive	Schiff, Kreidler-Shell of Kentucky, Inc.	399336	Agent - Health	1/8/2001	7/1/2002