DEPARTMENT OF INSURANCE

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.

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