DEPARTMENT OF INSURANCE

Affiliations

Name	Brooks, William Mathew	DOIID	708960	NAIC NPN	14367914

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	3/19/2014	1/1/2016
Inactive	Resident	Agent	Property	3/19/2014	1/1/2016
Inactive	Resident	Agent	Casualty	3/19/2014	1/1/2016
Inactive	Resident	Agent	Health	3/19/2014	1/1/2016
* 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	Colonial Life and Accident Insurance Company	300846	Agent - Health	12/22/2014	2/14/2015
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	12/22/2014	2/14/2015
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	1/20/2011	12/31/2013
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	1/20/2011	12/31/2013
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	1/20/2011	12/31/2013
Inactive	Humana Insurance Company	301104	Agent - Health	1/20/2011	12/31/2013
Inactive	Humana Insurance Company	301104	Agent - Life	1/20/2011	12/31/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/20/2011	12/31/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/20/2011	12/31/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Health	7/11/2012	12/19/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	7/11/2012	12/19/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	1/20/2011	4/25/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	1/20/2011	4/25/2013
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	6/28/2012	6/24/2013
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	12/11/2014	1/1/2016
Inactive	Omaha Insurance Company	751908	Agent - Health	9/18/2012	10/22/2013
Inactive	State Farm Fire and Casualty Company	301809	Agent - Casualty	8/31/2009	3/2/2010
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	8/31/2009	3/2/2010
Inactive	State Farm General Insurance Company	301122	Agent - Casualty	8/31/2009	3/2/2010
Inactive	State Farm General Insurance Company	301122	Agent - Property	8/31/2009	3/2/2010
Inactive	State Farm Life Insurance Company	301810	Agent - Life	8/31/2009	3/2/2010
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	8/31/2009	3/2/2010
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Health	8/31/2009	3/2/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	6/28/2012	6/24/2013
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	6/28/2012	6/24/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Medlink Inc	400721	Agent - Life	9/13/2010	12/31/2013
Inactive	Medlink Inc	400721	Agent - Health	9/13/2010	12/31/2013