DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Brooks, Daniel Patrick	DOIID	677418	NAIC NPN	3342920

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	6/13/2008	11/7/2016
Inactive	Non Resident	Agent	Life	6/13/2008	11/7/2016
* 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	Continental American Insurance Company	301700	Agent - Health	7/29/2013	11/7/2016
Inactive	Continental American Insurance Company	301700	Agent - Life	7/29/2013	11/7/2016
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	5/6/2016	11/7/2016
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	5/6/2016	11/7/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Gallagher Benefit Services Inc	525782	Agent - Health
Denied	Gallagher Benefit Services Inc	525782	Agent - Life