DEPARTMENT OF INSURANCE

Affiliations

Name	Brockman, Brenda Kay	DOIID	514760	NAIC NPN	7214842

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Denied	Resident	Agent	Travel
Inactive	Resident	Agent	Life	10/26/2000	7/1/2008
Inactive	Resident	Agent	Casualty	3/21/2002	7/1/2008
Inactive	Resident	Agent	Property	3/21/2002	7/1/2008
Inactive	Resident	Agent	Health	10/26/2000	7/1/2008
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	11/18/2005	11/22/2007
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	12/18/2000	11/22/2007
Inactive	American Equity Investment Life Insurance Company	300389	Agent - Life	8/4/2003	7/1/2008
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	12/7/2001	7/19/2006
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	12/7/2001	7/19/2006
Inactive	American Investors Life Insurance Company, Inc.	301358	Agent - Life	8/19/2003	12/17/2004
Inactive	American National General Insurance Company	301944	Agent - Casualty	12/27/2005	11/15/2006
Inactive	American National General Insurance Company	301944	Agent - Property	12/27/2005	11/15/2006
Inactive	American National Insurance Company	301861	Agent - Life	12/4/2003	10/9/2006
Inactive	American National Property and Casualty Company	300392	Agent - Casualty	12/27/2005	11/15/2006
Inactive	American National Property and Casualty Company	300392	Agent - Property	12/27/2005	11/15/2006
Inactive	Anthem Life Insurance Company	301209	Agent - Health	7/21/2006	7/1/2008
Inactive	Anthem Life Insurance Company	301209	Agent - Life	7/21/2006	7/1/2008
Inactive	Bankers Life Insurance Company	301784	Agent - Health	9/8/2003	1/13/2005
Inactive	Bankers Life Insurance Company	301784	Agent - Life	9/8/2003	1/13/2005
Inactive	Bankers United Life Assurance Company	300296	Agent - Health	4/16/2001	12/31/2001
Inactive	Bankers United Life Assurance Company	300296	Agent - Life	4/16/2001	12/31/2001
Inactive	Conseco Health Insurance Company	301725	Agent - Health	10/18/2004	11/9/2005
Inactive	Conseco Health Insurance Company	301725	Agent - Life	10/18/2004	11/9/2005
Inactive	Conseco Insurance Company	301202	Agent - Health	11/30/2004	3/17/2006
Inactive	Conseco Insurance Company	301202	Agent - Life	11/30/2004	7/1/2008
Inactive	Cotton States Life Insurance Company	300268	Agent - Life	6/9/2003	12/1/2006
Inactive	Everlake Life Insurance Company	300873	Agent - Health	12/18/2000	7/22/2003
Inactive	Everlake Life Insurance Company	300873	Agent - Life	12/18/2000	7/22/2003
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	4/19/2006	7/26/2007
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	4/19/2006	7/26/2007
Inactive	Forethought Life Insurance Company	301407	Agent - Life	10/20/2006	3/15/2007
Inactive	Genworth Life Insurance Company	300623	Agent - Health	5/22/2001	1/11/2006
Inactive	Genworth Life Insurance Company	300623	Agent - Life	5/22/2001	1/11/2006
Inactive	Grange Insurance Company	300234	Agent - Casualty	3/21/2002	2/7/2006
Inactive	Grange Insurance Company	300234	Agent - Property	3/21/2002	2/7/2006
Inactive	Grange Life Insurance Company	300128	Agent - Health	10/26/2000	2/7/2006
Inactive	Grange Life Insurance Company	300128	Agent - Life	10/26/2000	2/7/2006
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	5/14/2001	12/8/2004
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	5/14/2001	12/8/2004
Denied	Insurance Company of North America	300226	Agent - Travel
Inactive	Life Investors Insurance Company of America	301793	Agent - Health	12/31/2001	7/29/2003
Inactive	Life Investors Insurance Company of America	301793	Agent - Life	12/31/2001	7/29/2003
Inactive	LifeUSA Insurance Company	300386	Agent - Life	12/18/2000	8/2/2002
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	1/29/2001	7/1/2008
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	5/21/2001	1/24/2005
Inactive	Pan-American Assurance Company	301533	Agent - Life	12/4/2002	7/8/2004
Inactive	Pan-American Life Insurance Company	301530	Agent - Life	12/4/2002	7/8/2004
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	2/21/2001	9/3/2004
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	2/21/2001	9/3/2004
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	6/18/2001	7/1/2008
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	6/18/2001	7/1/2008
Inactive	Time Insurance Company	300683	Agent - Health	3/19/2001	11/14/2002
Inactive	Time Insurance Company	300683	Agent - Life	3/19/2001	11/14/2002
Inactive	Transamerica Assurance Company	300893	Agent - Health	9/24/2001	6/30/2003
Inactive	Transamerica Assurance Company	300893	Agent - Life	9/24/2001	6/30/2003
Inactive	Transamerica Life Insurance and Annuity Company	300148	Agent - Life	12/4/2003	6/20/2005
Inactive	United Financial Casualty Company	301886	Agent - Casualty	4/25/2006	7/1/2008
Inactive	United Financial Casualty Company	301886	Agent - Property	4/25/2006	7/1/2008
Inactive	West Coast Life Insurance Company	301607	Agent - Life	10/24/2002	12/29/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	7/21/2006	6/20/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	7/21/2006	6/20/2008
Inactive	L & H Inc.	518487	Agent - Health	4/2/2004	9/1/2008
Inactive	L & H Inc.	518487	Agent - Life	4/2/2004	9/1/2008
Inactive	L & H Inc.	518487	Agent - Property	4/2/2004	9/1/2008
Inactive	L & H Inc.	518487	Agent - Casualty	4/2/2004	9/1/2008