DEPARTMENT OF INSURANCE

Affiliations

Name	Brockway, Lee R	DOIID	655083	NAIC NPN	596140

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	5/15/2020	1/31/2022
Inactive	Non Resident	Agent	Health	5/15/2020	1/31/2022
* 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	All Savers Insurance Company	301940	Agent - Health	10/30/2019	2/4/2020
Inactive	All Savers Insurance Company	301940	Agent - Life	10/30/2019	2/4/2020
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Health	4/13/2009	12/31/2012
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Life	4/13/2009	12/31/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Health	7/24/2007	11/2/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Life	7/24/2007	11/2/2016
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	4/19/2012	9/16/2013
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	4/19/2012	9/16/2013
Inactive	Genworth Life Insurance Company	300623	Agent - Health	12/2/2011	1/7/2014
Inactive	Genworth Life Insurance Company	300623	Agent - Life	12/2/2011	1/7/2014
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	4/29/2008	12/7/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	4/29/2008	12/7/2012
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	4/19/2012	1/31/2020
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	4/19/2012	1/31/2020
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	2/2/2019	1/31/2020
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	2/2/2019	1/31/2020
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	5/15/2020	1/31/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	5/15/2020	1/31/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	5/15/2020	1/31/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Life	5/15/2020	1/31/2022
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	5/15/2020	1/31/2022

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	7/24/2007	6/20/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	7/24/2007	6/20/2008
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/27/2008	11/2/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/27/2008	11/2/2016
Inactive	Intrust Business Partners,LLC	807855	Agent - Health	6/30/2020	1/31/2022
Inactive	Intrust Business Partners,LLC	807855	Agent - Life	6/30/2020	1/31/2022
Inactive	Medlink Inc	400721	Agent - Health	8/15/2007	1/31/2020
Inactive	Medlink Inc	400721	Agent - Life	8/15/2007	1/31/2020