DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Brock, Tyson	DOIID	939962	NAIC NPN	18143262

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	12/16/2016	6/30/2019
Inactive	Non Resident	Agent	Life	12/16/2016	6/30/2019
Active	Non Resident	Staff Adjuster	Property & Casualty	9/27/2023		6/30/2025
* 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	04/15/2025	06/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	12/21/2016	3/2/2017
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	12/21/2016	3/2/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ushealth Advisors Llc	713288	Agent - Life	12/22/2016	3/2/2017
Inactive	Ushealth Advisors Llc	713288	Agent - Health	12/22/2016	3/2/2017