DEPARTMENT OF INSURANCE

Affiliations

Name	Brock, Sarah B	DOIID	636758	NAIC NPN	8866039

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Limited Line Credit	6/3/2016		7/31/2024
Inactive	Resident	Agent	Life	1/8/2015	8/1/2016
Inactive	Resident	Agent	Variable Life and Variable Annuities	1/8/2015	8/1/2016
* 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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	05/15/2024	07/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Health and Life Insurance Company	300844	Agent - Limited Line Credit	7/31/2006	3/2/2014
Active	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	8/4/2016
Inactive	Triton Insurance Company	300654	Agent - Limited Line Credit	7/31/2006	3/2/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Forcht Bank, NA	556805	Agent - Limited Line Credit	8/4/2016