DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Brooks-Harward, Connie Sue	DOIID	621685	NAIC NPN	3623192

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	5/17/2007	11/30/2007
Inactive	Non Resident	Agent	Life	12/8/2005	11/30/2007
Inactive	Non Resident	Agent	Property	5/17/2007	11/30/2007
Inactive	Non Resident	Agent	Health	12/8/2005	11/30/2007
* 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	AMEX Assurance Company	301728	Agent - Casualty	6/7/2007	11/30/2007
Inactive	AMEX Assurance Company	301728	Agent - Health	5/8/2007	11/30/2007
Inactive	AMEX Assurance Company	301728	Agent - Property	6/7/2007	11/30/2007
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/18/2006	11/30/2007
Inactive	Humana Insurance Company	301104	Agent - Health	10/18/2006	11/30/2007
Inactive	Humana Insurance Company	301104	Agent - Life	10/18/2006	11/30/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aegis Communications Group Llc	637101	Agent - Health	10/23/2006	11/30/2007
Inactive	Aegis Communications Group Llc	637101	Agent - Life	10/23/2006	11/30/2007