DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Brooks, Michael I	DOIID	715425	NAIC NPN	14983694

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/14/2009	8/31/2014
Active	Non Resident	Staff Adjuster	Property & Casualty	1/13/2025		8/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Staff Adjuster	06/15/2026	08/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	1/5/2010	9/4/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Health	1/5/2010	11/29/2011
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/22/2009	9/4/2013
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/10/2012	9/4/2013
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/22/2009	9/4/2013
Inactive	Humana Insurance Company	301104	Agent - Health	10/22/2009	9/4/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/22/2009	9/4/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Health	11/16/2011	2/24/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/22/2009	9/4/2013

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 - Health	3/16/2010	9/4/2013