DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Ellington, Carmen Kay	DOIID	303849	NAIC NPN	7157353

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	3/31/2007
Inactive	Resident	Agent	Health	6/30/1992	12/1/2000
Inactive	Resident	Agent	Credit Life & Health	10/12/1995	8/7/2000
Inactive	Resident	Agent	Life	6/30/1992	12/1/2000
* 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	Banc One Kentucky Insurance Company	300824	Agent - Credit Life & Health	10/12/1995	2/18/1997
Inactive	Berkley Life and Health Insurance Company	301421	Agent - Health	5/19/1995	1/21/1997
Inactive	Berkley Life and Health Insurance Company	301421	Agent - Life	5/19/1995	1/21/1997
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Health	6/30/1992	3/31/1997
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Life	6/30/1992	3/31/1997
Inactive	CMFG Life Insurance Company	300929	Agent - Credit Life & Health	4/16/1998	8/7/2000
Inactive	CMFG Life Insurance Company	300929	Agent - Limited Line Credit	8/7/2000	1/17/2005
Inactive	Keyport Life Insurance Company	300319	Agent - Life	9/19/1995	12/29/1998
Inactive	Life Investors Insurance Company of America	301793	Agent - Life	9/19/1995	7/23/1997
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	9/14/1995	12/1/2000
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	9/14/1995	12/1/2000
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	9/14/1995	3/31/1997

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	First Capital Bank of Kentucky	401097	Agent - Limited Line Credit
Inactive	Park Community Credit Union	525931	Agent - Limited Line Credit	4/30/2001	1/17/2005