DEPARTMENT OF INSURANCE

Affiliations

Name	Brockway, David Wayne	DOIID	535395	NAIC NPN	3924898

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	9/16/2012	12/31/2014
Inactive	Non Resident	Agent	Health	9/16/2012	12/31/2014
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	10/3/2012	12/21/2012
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/3/2012	12/21/2012
Inactive	Aetna Life Insurance Company	301140	Agent - Life	10/3/2012	12/21/2012
Inactive	American General Life Insurance Company	301585	Agent - Health	9/3/2002	2/28/2005
Inactive	American General Life Insurance Company	301585	Agent - Life	9/3/2002	2/28/2005
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Health	10/16/2001	11/20/2002
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	10/16/2001	11/20/2002
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/10/2012	12/6/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/10/2012	12/6/2012
Inactive	Banner Life Insurance Company	301696	Agent - Life	2/25/2002	2/28/2005
Inactive	Brighthouse Life Insurance Company	301829	Agent - Life	2/7/2002	2/28/2005
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	1/22/2002	2/28/2005
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	9/20/2012	7/24/2013
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/20/2012	7/24/2013
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	1/22/2002	2/28/2005
Inactive	First Colony Life Insurance Company	301179	Agent - Health	1/18/2002	9/15/2003
Inactive	First Colony Life Insurance Company	301179	Agent - Life	1/18/2002	9/15/2003
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/10/2012	7/24/2013
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/20/2012	7/24/2013
Inactive	Humana Insurance Company	301104	Agent - Health	9/20/2012	7/24/2013
Inactive	Humana Insurance Company	301104	Agent - Life	9/20/2012	7/24/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/20/2012	7/24/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/20/2012	7/24/2013
Inactive	MetLife Life and Annuity Company of Connecticut	301593	Agent - Life	2/7/2002	2/28/2005
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	12/10/2001	9/23/2003
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Life	2/8/2002	3/31/2003
Inactive	Omaha Insurance Company	751908	Agent - Health	11/2/2012	12/6/2012
Inactive	Protective Life Insurance Company	300638	Agent - Health	12/13/2001	9/15/2003
Inactive	Protective Life Insurance Company	300638	Agent - Life	12/13/2001	9/15/2003
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	1/14/2002	10/1/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/10/2012	12/17/2012
Inactive	Designated Agent Company Inc.	681257	Agent - Life	10/10/2012	12/17/2012
Inactive	SelectQuote Insurance Services	533194	Agent - Health	5/6/2002	1/23/2004
Inactive	SelectQuote Insurance Services	533194	Agent - Life	5/6/2002	9/29/2003