DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Brookhyser, George Edward	DOIID	622555	NAIC NPN	8062300

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	12/29/2005	8/31/2010
Inactive	Non Resident	Agent	Life	12/29/2005	8/31/2010
* 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	Bankers Life and Casualty Company	300701	Agent - Health	4/9/2009	5/5/2009
Inactive	Bankers Life and Casualty Company	300701	Agent - Life	4/9/2009	5/5/2009
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	4/21/2009	5/7/2009
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	4/21/2009	5/7/2009
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	4/10/2006	8/31/2010
Inactive	Stonebridge Life Insurance Company	301614	Agent - Health	5/4/2009	3/19/2010
Inactive	Stonebridge Life Insurance Company	301614	Agent - Life	5/4/2009	3/19/2010
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	5/4/2009	3/19/2010
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	5/4/2009	3/19/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	e-Telequote Insurance, Inc.	687772	Agent - Health	1/14/2010	1/27/2010
Inactive	e-Telequote Insurance, Inc.	687772	Agent - Life	1/14/2010	1/27/2010