DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Masick, Brooke	DOIID	1162235	NAIC NPN	20082743

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	10/13/2021		1/31/2026
Active	Resident	Agent	Property	11/12/2021		1/31/2026
Active	Resident	Agent	Health	10/13/2021		1/31/2026
Active	Resident	Agent	Casualty	11/10/2021		1/31/2026
* 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
Agent	11/15/2025	01/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	7/5/2022
Inactive	Auto Club Indemnity Company	1013914	Agent - Casualty	2/9/2022	5/9/2022
Inactive	Auto Club Indemnity Company	1013914	Agent - Property	2/9/2022	5/9/2022
Active	CHA HMO, Inc.	300662	Agent - Health	12/18/2023
Active	CompBenefits Insurance Company	301864	Agent - Health	7/5/2022
Active	Dental Concern Inc. (The)	301641	Agent - Health	8/2/2022
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	7/12/2022
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	7/8/2022
Active	Humana Health Plan, Inc.	300142	Agent - Health	12/1/2023
Active	Humana Insurance Company	301104	Agent - Health	7/5/2022
Active	Humana Medical Plan, Inc.	801568	Agent - Health	7/12/2022
Active	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	7/8/2022
Inactive	State Farm Fire and Casualty Company	301809	Agent - Casualty	11/15/2021	2/9/2022
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	11/15/2021	2/9/2022
Inactive	State Farm Life Insurance Company	301810	Agent - Life	10/21/2021	2/9/2022
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	11/15/2021	2/9/2022
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Health	10/21/2021	2/9/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aaa East Central Insurance Agency Inc	861400	Agent - Casualty	2/9/2022	5/9/2022
Inactive	Aaa East Central Insurance Agency Inc	861400	Agent - Property	2/9/2022	5/9/2022
Denied	Humana MarketPOINT Inc.	398092	Agent - Life
Active	Humana MarketPOINT Inc.	398092	Agent - Health	6/2/2023