DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Brooke Life and Health, Inc.	DOIID	543748	NAIC NPN	3195976

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	3/19/2002	12/1/2006
Inactive	Non Resident	Agent	Health	3/19/2002	12/1/2006
* 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	Symetra Life Insurance Company	301691	Agent - Health	3/19/2002	12/27/2004
Inactive	Symetra Life Insurance Company	301691	Agent - Life	3/19/2002	12/27/2004

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Gaughan, Lisa Dawn	582447	Agent - Health	9/6/2006	9/30/2006
Inactive	Gaughan, Lisa Dawn	582447	Agent - Life	9/6/2006	9/30/2006
Inactive	Larson, Anita Faye	543371	Agent - Health	3/19/2002	3/19/2004
Inactive	Larson, Anita Faye	543371	Agent - Life	3/19/2002	3/19/2004