DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Brook, Lisa Ann	DOIID	672462	NAIC NPN	8854703

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/19/2013	6/30/2018
Inactive	Non Resident	Agent	Life	1/22/2008	7/2/2010
* 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	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	4/14/2009
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	1/29/2008	4/14/2009
Inactive	Humana Insurance Company	301104	Agent - Health	1/29/2008	4/14/2009
Inactive	Humana Insurance Company	301104	Agent - Life	1/29/2008	4/14/2009
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/29/2008	4/14/2009
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/29/2008	4/14/2009
Inactive	Sierra Health and Life Insurance Company Inc.	300357	Agent - Health	6/6/2016	12/8/2017
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	5/30/2016	12/8/2017
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/16/2016	12/8/2017
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	5/30/2016	12/21/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	5/30/2016	12/8/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Humana MarketPOINT Inc.	398092	Agent - Life	4/1/2009	4/14/2009
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	4/1/2009	4/14/2009