DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Tabor, Jeremy Adam	DOIID	307547	NAIC NPN	7159027

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Limited Line Credit	3/29/2011	10/31/2021
Inactive	Resident	Agent	Life	9/4/1997	9/14/2000
* 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	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	3/29/2011	1/6/2017
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	10/30/2018	10/31/2021
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	1/14/2013	5/18/2020
Inactive	Woodmen of the World Life Insurance Society	301446	Agent - Life	9/4/1997	9/14/2000

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Edmonton Bancshares Inc.	398355	Agent - Limited Line Credit	8/9/2011	10/31/2021