DEPARTMENT OF INSURANCE

Affiliations

Name	Brecek, Roland	DOIID	514138	NAIC NPN	983788

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	8/21/2000	8/15/2008
Inactive	Non Resident	Agent	Health	8/21/2000	8/15/2008
Inactive	Non Resident	Agent	Variable Life and Variable Annuities	5/31/2001	8/15/2008
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Equity Investment Life Insurance Company	300389	Agent - Life	9/17/2001	4/10/2003
Inactive	C.M. Life Insurance Company	301335	Agent - Life	11/19/2001	8/15/2008
Inactive	C.M. Life Insurance Company	301335	Agent - Variable Life and Variable Annuities	11/19/2001	8/15/2008
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	3/15/2002	3/22/2006
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	3/15/2002	8/15/2008
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Health	9/25/2001	8/15/2008
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	9/25/2001	8/15/2008
Inactive	General American Life Insurance Company	300280	Agent - Health	10/11/2006	8/15/2008
Inactive	General American Life Insurance Company	300280	Agent - Life	10/11/2006	8/15/2008
Inactive	General American Life Insurance Company	300280	Agent - Variable Life and Variable Annuities	5/30/2002	8/15/2008
Inactive	Genworth Life Insurance Company	300623	Agent - Health	12/27/2003	12/4/2007
Inactive	Genworth Life Insurance Company	300623	Agent - Life	12/27/2003	12/4/2007
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	9/9/2003	6/7/2008
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	9/9/2003	6/7/2008
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	6/1/2001	8/15/2008
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	6/1/2001	8/15/2008
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Variable Life and Variable Annuities	6/1/2001	8/15/2008
Inactive	MML Bay State Life Insurance Company	301198	Agent - Life	11/19/2001	10/16/2003
Inactive	MML Bay State Life Insurance Company	301198	Agent - Variable Life and Variable Annuities	11/19/2001	10/16/2003
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	11/19/2001	8/15/2008
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	11/19/2001	8/15/2008
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Health	10/11/2006	8/15/2008
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	10/11/2006	8/15/2008
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	10/20/2003	8/15/2008
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	10/20/2003	8/15/2008
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	5/18/2001	11/16/2006
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	5/18/2001	11/16/2006
Inactive	Nationwide Life Insurance Company	300495	Agent - Variable Life and Variable Annuities	5/31/2001	11/16/2006
Inactive	Principal Life Insurance Company	300129	Agent - Health	7/2/2001	8/15/2008
Inactive	Principal Life Insurance Company	300129	Agent - Life	7/2/2001	8/15/2008
Inactive	Principal Life Insurance Company	300129	Agent - Variable Life and Variable Annuities	7/2/2001	8/15/2008
Inactive	Pruco Life Insurance Company	300954	Agent - Health	10/21/2003	8/15/2008
Inactive	Pruco Life Insurance Company	300954	Agent - Life	10/21/2003	8/15/2008
Inactive	Pruco Life Insurance Company	300954	Agent - Variable Life and Variable Annuities	10/21/2003	8/15/2008
Inactive	Security Benefit Life Insurance Company	300583	Agent - Health	8/21/2000	8/15/2008
Inactive	Security Benefit Life Insurance Company	300583	Agent - Life	8/21/2000	8/15/2008
Inactive	Security Benefit Life Insurance Company	300583	Agent - Variable Life and Variable Annuities	5/31/2001	8/15/2008
Inactive	Security Life of Denver Insurance Company	300648	Agent - Health	10/1/2004	8/15/2008
Inactive	Security Life of Denver Insurance Company	300648	Agent - Life	10/1/2004	8/15/2008
Inactive	Security Life of Denver Insurance Company	300648	Agent - Variable Life and Variable Annuities	10/1/2004	8/15/2008
Inactive	Southland Life Insurance Company	301175	Agent - Health	2/28/2003	10/1/2004
Inactive	Southland Life Insurance Company	301175	Agent - Life	8/7/2001	10/1/2004
Inactive	Southland Life Insurance Company	301175	Agent - Variable Life and Variable Annuities	8/7/2001	10/1/2004
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	10/8/2003	12/16/2004
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	10/8/2003	12/16/2004
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	9/10/2003	9/26/2007
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Life	10/26/2001	8/15/2008
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Variable Life and Variable Annuities	10/26/2001	8/15/2008
Inactive	West Coast Life Insurance Company	301607	Agent - Life	8/6/2001	8/15/2008
Inactive	Western National Life Insurance Company	300461	Agent - Life	10/11/2002	8/15/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Brecek & Young Advisors, Inc.	568266	Agent - Life	4/21/2003	5/27/2008
Inactive	Brecek & Young Advisors, Inc.	568266	Agent - Health	4/21/2003	5/27/2008
Inactive	Brecek & Young Advisors, Inc.	568266	Agent - Variable Life and Variable Annuities	5/5/2003	5/27/2008
Inactive	Brecek & Young Financial Services Group, Inc.	513895	Agent - Life	10/23/2000	12/1/2003
Inactive	Brecek & Young Financial Services Group, Inc.	513895	Agent - Health	10/23/2000	12/1/2003
Inactive	Brecek & Young Financial Services Group, Inc.	513895	Agent - Variable Life and Variable Annuities	4/30/2001	12/1/2003