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DEPARTMENT OF INSURANCE
Affiliations
Name
Ford, Brock
DOIID
694675
NAIC NPN
11062074
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Non Resident
Agent
Life
12/21/2021
7/31/2025
Active
Non Resident
Agent
Health
12/21/2021
7/31/2025
Inactive
Non Resident
Agent
Personal Lines
9/23/2009
7/31/2017
* 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
American Family Home Insurance Company
301817
Agent - Personal Lines
5/30/2013
7/31/2017
Inactive
American Modern Home Insurance Company
300791
Agent - Personal Lines
5/30/2013
7/31/2017
Inactive
American Modern Select Insurance Company
581481
Agent - Personal Lines
5/30/2013
7/31/2017
Inactive
American Southern Home Insurance Company
626276
Agent - Personal Lines
5/30/2013
7/31/2017
Inactive
Anthem Health Plans of Kentucky, Inc.
300999
Agent - Health
1/11/2022
6/7/2022
Inactive
Anthem Health Plans of New Hampshire, Inc.
944064
Agent - Health
1/11/2022
6/7/2022
Inactive
Anthem Insurance Companies, Inc.
300941
Agent - Health
1/11/2022
6/7/2022
Inactive
Anthem Life Insurance Company
301209
Agent - Health
1/13/2022
6/7/2022
Inactive
Anthem Life Insurance Company
301209
Agent - Life
1/13/2022
6/7/2022
Inactive
Compcare Health Services Insurance Corporation
948751
Agent - Health
1/11/2022
6/7/2022
Inactive
Farmers Direct Property and Casualty Insurance Company
300957
Agent - Personal Lines
6/6/2011
7/12/2017
Inactive
Farmers Property and Casualty Insurance Company
301237
Agent - Personal Lines
6/6/2011
7/12/2017
Inactive
First Liberty Insurance Corporation (The)
301060
Agent - Personal Lines
4/22/2010
7/31/2017
Inactive
LM General Insurance Company
300133
Agent - Personal Lines
4/22/2010
7/31/2017
Inactive
LM Insurance Corporation
301061
Agent - Personal Lines
4/22/2010
7/31/2017
Inactive
Liberty Insurance Corporation
300444
Agent - Personal Lines
4/22/2010
7/31/2017
Inactive
Liberty Mutual Fire Insurance Company
301913
Agent - Personal Lines
4/22/2010
7/31/2017
Inactive
Liberty Mutual Insurance Company
301159
Agent - Personal Lines
4/22/2010
7/31/2017
Inactive
Metropolitan Life Insurance Company
301948
Agent - Health
11/11/2010
7/24/2017
Inactive
Metropolitan Life Insurance Company
301948
Agent - Life
11/11/2010
7/24/2017
Inactive
SAFECO Insurance Company of America
300159
Agent - Personal Lines
7/25/2014
7/31/2017
Inactive
SAFECO Insurance Company of Illinois
301350
Agent - Personal Lines
7/25/2014
7/31/2017
Inactive
Standard Fire Insurance Company (The)
301068
Agent - Personal Lines
4/7/2014
7/31/2017
Inactive
The Phoenix Insurance Company
301502
Agent - Personal Lines
4/7/2014
12/21/2015
Inactive
Travelers Commercial Insurance Company
301506
Agent - Personal Lines
4/7/2014
7/31/2017
Inactive
Travelers Home and Marine Insurance Company (The)
301802
Agent - Personal Lines
4/7/2014
7/31/2017
Inactive
Travelers Indemnity Company (The)
301855
Agent - Personal Lines
4/7/2014
12/21/2015
Inactive
Travelers Indemnity Company of America (The)
301093
Agent - Personal Lines
4/7/2014
7/31/2017
Inactive
Unitrin Direct Property & Casualty Company
637443
Agent - Personal Lines
10/22/2014
7/31/2017
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Mercer Health & Benefits Administration Llc
656414
Agent - Health
1/9/2014
7/24/2017
Inactive
Mercer Health & Benefits Administration Llc
656414
Agent - Life
1/9/2014
7/24/2017
Inactive
Seabury & Smith Inc
394854
Agent - Health
4/8/2011
4/8/2014
Inactive
Seabury & Smith Inc
394854
Agent - Life
4/8/2011
4/8/2014
Inactive
Seabury & Smith Inc
394854
Agent - Personal Lines
2/3/2011
4/8/2014
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