DEPARTMENT OF INSURANCE

Name	Brokersbloc.	DOIID	1472202	NAIC NPN	21040790

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Active	Non Resident	Agent	Health	7/16/2026		3/31/2028
Active	Non Resident	Agent	Life	7/16/2026		3/31/2028

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

No License Renewal Information

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date.

Address Information

Type	Address
Business / Home Office	1041 Windermere Crossing Cumming, GA 30041

Internet Information

Type	Address
Business Email	SCOMBS@BROKERSBLOC.COM

Phone Information

Type	Phone
Business / Home Office	(678) 200-8600