DEPARTMENT OF INSURANCE

Affiliations

Name	Ivey, Brooke Buice	DOIID	707951	NAIC NPN	11561143

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	6/18/2009	6/13/2013
Inactive	Non Resident	Agent	Health	6/18/2009	6/13/2013
* 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	CompBenefits Dental, Inc.	591692	Agent - Health	2/10/2012	6/13/2013
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	7/28/2009	6/13/2013
Inactive	Golden Rule Insurance Company	301943	Agent - Health	8/31/2009	6/13/2013
Inactive	Golden Rule Insurance Company	301943	Agent - Life	8/31/2009	6/13/2013
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/10/2012	6/13/2013
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	7/28/2009	6/13/2013
Inactive	Humana Insurance Company	301104	Agent - Health	11/16/2010	6/13/2013
Inactive	Humana Insurance Company	301104	Agent - Life	11/16/2010	6/13/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/28/2009	6/13/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	7/28/2009	6/13/2013
Inactive	Marquette National Life Insurance Company	300117	Agent - Health	7/6/2009	9/13/2012
Inactive	Marquette National Life Insurance Company	300117	Agent - Life	7/6/2009	9/13/2012
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Health	7/6/2009	12/13/2012
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Life	7/6/2009	12/13/2012
Inactive	Nassau Life Insurance Company of Texas	300872	Agent - Health	5/15/2011	9/13/2012
Inactive	Nassau Life Insurance Company of Texas	300872	Agent - Life	5/15/2011	9/13/2012
Inactive	Pennsylvania Life Insurance Company	301321	Agent - Health	7/6/2009	6/13/2013
Inactive	Pennsylvania Life Insurance Company	301321	Agent - Life	7/6/2009	6/13/2013
Inactive	Renaissance Life & Health Insurance Company of America	301447	Agent - Health	6/6/2011	1/16/2013
Inactive	Renaissance Life & Health Insurance Company of America	301447	Agent - Life	6/6/2011	1/16/2013
Inactive	Security Life Insurance Company of America	300936	Agent - Health	11/22/2011	6/13/2013
Inactive	Security Life Insurance Company of America	300936	Agent - Life	11/22/2011	6/13/2013
Inactive	SilverScript Insurance Company	663526	Agent - Health	12/9/2011	6/13/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bloom Insurance Agency LLC	664017	Agent - Health	4/13/2012	10/22/2012
Inactive	Bloom Insurance Agency LLC	664017	Agent - Life	4/13/2012	10/22/2012