DEPARTMENT OF INSURANCE

Affiliations

Name	Bungenstock, Bettie Lee	DOIID	308824	NAIC NPN	7159588

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Property	10/3/2000		9/30/2024
Active	Resident	Agent	Casualty	5/31/2001		9/30/2024
Active	Resident	Agent	Life	6/11/1996		9/30/2024
Active	Resident	Agent	Health	8/13/2001		9/30/2024
Active	Resident	Agent	Variable Life and Variable Annuities	5/31/2001		9/30/2024
Active	Resident	Agent	Limited Line Credit	8/7/2000		9/30/2024
Inactive	Resident	Agent	Credit Life & Health	10/26/1995	8/7/2000
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	07/15/2024	09/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Allstate Indemnity Company	300778	Agent - Casualty	5/31/2001
Active	Allstate Indemnity Company	300778	Agent - Property	2/8/2001
Active	Allstate Insurance Company	300773	Agent - Casualty	5/31/2001
Active	Allstate Insurance Company	300773	Agent - Property	10/3/2000
Active	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	8/12/2005
Active	Allstate Property and Casualty Insurance Company	300593	Agent - Property	8/12/2005
Active	Allstate Vehicle & Property Insurance Company	301429	Agent - Casualty	2/18/2014
Active	Allstate Vehicle & Property Insurance Company	301429	Agent - Property	2/18/2014
Active	American Family Home Insurance Company	301817	Agent - Casualty	4/29/2024
Active	American Family Home Insurance Company	301817	Agent - Property	4/29/2024
Inactive	American General Life Insurance Company	301585	Agent - Health	12/19/2001	3/5/2004
Inactive	American General Life Insurance Company	301585	Agent - Life	3/10/1999	3/5/2004
Inactive	American General Life Insurance Company	301585	Agent - Variable Life and Variable Annuities	12/19/2001	3/5/2004
Active	American Heritage Life Insurance Company	300272	Agent - Health	8/13/2001
Active	American Heritage Life Insurance Company	300272	Agent - Life	6/11/2001
Active	American Modern Home Insurance Company	300791	Agent - Casualty	9/30/2020
Active	American Modern Home Insurance Company	300791	Agent - Property	9/30/2020
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	9/26/2018
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	9/26/2018
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	6/2/2016	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	6/2/2016	11/14/2021
Inactive	Athene Annuity and Life Company	301893	Agent - Life	10/1/2008	11/6/2008
Inactive	Aviva Life Insurance Company	301615	Agent - Life	2/16/1999	10/1/2008
Inactive	Banc One Kentucky Insurance Company	300824	Agent - Credit Life & Health	10/25/1996	8/7/2000
Inactive	Banc One Kentucky Insurance Company	300824	Agent - Limited Line Credit	8/7/2000	8/9/2001
Inactive	Banner Life Insurance Company	301696	Agent - Life	2/26/2021	5/27/2024
Inactive	Commonwealth Annuity and Life Insurance Company	300798	Agent - Life	3/31/1999	11/23/2022
Inactive	Commonwealth Annuity and Life Insurance Company	300798	Agent - Variable Life and Variable Annuities	6/22/2001	11/23/2022
Inactive	Delaware Life Insurance Company	301256	Agent - Life	3/5/1999	11/29/2006
Inactive	Empower Annuity Insurance Company of America	300259	Agent - Life	4/3/2000	12/27/2000
Inactive	Esurance Property and Casualty Insurance Company	613279	Agent - Casualty	7/16/2021	3/8/2023
Inactive	Esurance Property and Casualty Insurance Company	613279	Agent - Property	7/16/2021	3/8/2023
Active	Everlake Assurance Company	300203	Agent - Life	12/17/2014
Active	Everlake Assurance Company	300203	Agent - Variable Life and Variable Annuities	12/17/2014
Active	Everlake Life Insurance Company	300873	Agent - Health	8/13/2001
Active	Everlake Life Insurance Company	300873	Agent - Life	2/8/2001
Active	Everlake Life Insurance Company	300873	Agent - Variable Life and Variable Annuities	5/31/2001
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	9/28/2023
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	9/28/2023
Inactive	Fortitude Life Insurance & Annuity Company	301503	Agent - Life	8/14/2006	12/21/2022
Inactive	Fortitude Life Insurance & Annuity Company	301503	Agent - Variable Life and Variable Annuities	8/14/2006	12/21/2022
Inactive	Gerber Life Insurance Company	300529	Agent - Life	4/6/2001	11/13/2002
Inactive	Glenbrook Life and Annuity Company	301384	Agent - Life	1/26/1999	4/2/2001
Active	Independent Order of Foresters	300743	Agent - Health	5/29/2024
Active	Independent Order of Foresters	300743	Agent - Life	5/29/2024
Active	Integon General Insurance Corporation	301186	Agent - Casualty	8/11/2023
Active	Integon General Insurance Corporation	301186	Agent - Property	8/11/2023
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	1/22/2002	5/28/2010
Inactive	Keyport Life Insurance Company	300319	Agent - Life	7/11/1996	4/2/2001
Inactive	Life Investors Insurance Company of America	301793	Agent - Life	8/15/1996	9/6/2001
Active	Lincoln Benefit Life Company	301110	Agent - Health	8/13/2001
Active	Lincoln Benefit Life Company	301110	Agent - Life	2/12/2001
Active	Lincoln Benefit Life Company	301110	Agent - Variable Life and Variable Annuities	5/31/2001
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	3/22/2021	10/25/2023
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Variable Life and Variable Annuities	3/22/2021	10/25/2023
Inactive	Manufacturers Life Insurance Company of North America	301899	Agent - Life	3/1/1999	1/22/2002
Active	Midland National Life Insurance Company	300923	Agent - Life	6/12/2023
Active	Midland National Life Insurance Company	300923	Agent - Variable Life and Variable Annuities	6/12/2023
Active	National General Insurance Company	300152	Agent - Casualty	8/11/2023
Active	National General Insurance Company	300152	Agent - Property	8/11/2023
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	6/11/1996	5/4/2001
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Life	4/3/2001	4/13/2005
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Variable Life and Variable Annuities	5/31/2001	4/13/2005
Active	Protective Life Insurance Company	300638	Agent - Health	3/23/2017
Active	Protective Life Insurance Company	300638	Agent - Life	3/23/2017
Active	Protective Life Insurance Company	300638	Agent - Variable Life and Variable Annuities	3/23/2017
Active	Pruco Life Insurance Company	300954	Agent - Life	4/30/2010
Active	Pruco Life Insurance Company	300954	Agent - Variable Life and Variable Annuities	4/30/2010
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Health	8/13/2001	12/29/2006
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Life	7/17/2001	12/29/2006
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Variable Life and Variable Annuities	7/17/2001	12/29/2006
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Health	8/13/2001	12/29/2006
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Life	7/17/2001	12/29/2006
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Variable Life and Variable Annuities	7/17/2001	12/29/2006
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	10/1/2005	11/7/2008
Inactive	Transamerica Life Insurance Company	300571	Agent - Variable Life and Variable Annuities	10/1/2005	11/7/2008
Inactive	Transamerica Life Insurance and Annuity Company	300148	Agent - Life	9/17/2003	10/1/2005
Inactive	Transamerica Life Insurance and Annuity Company	300148	Agent - Variable Life and Variable Annuities	9/17/2003	10/1/2005
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	9/17/2003	9/24/2008
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	9/17/2003	10/1/2008
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Variable Life and Variable Annuities	9/17/2003	10/1/2008
Inactive	Union Security Life Insurance Company	300903	Agent - Credit Life & Health	10/26/1995	8/7/2000
Inactive	Union Security Life Insurance Company	300903	Agent - Limited Line Credit	8/7/2000	12/9/2002
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Health	7/28/2016	4/6/2018
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Life	7/28/2016	4/6/2018
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Variable Life and Variable Annuities	7/28/2016	4/6/2018
Inactive	Voya Retirement Insurance and Annuity Company	300643	Agent - Life	2/19/1999	12/16/2010
Inactive	Western National Life Insurance Company	300461	Agent - Life	12/31/1998	6/16/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bank One-Cincinnati NA	399935	Agent - Credit Life & Health	12/28/1995	8/7/2000
Inactive	Bank One-Cincinnati NA	399935	Agent - Limited Line Credit	8/7/2000	12/9/2002
Active	Cottongim Agency	544617	Agent - Life	2/11/2002
Active	Cottongim Agency	544617	Agent - Health	2/11/2002
Active	Cottongim Agency	544617	Agent - Property	1/17/2002
Active	Cottongim Agency	544617	Agent - Casualty	1/17/2002
Inactive	Fimco Agency of Ohio Inc.	398131	Agent - Life	11/22/1999	5/31/2004
Inactive	Fimco Agency of Ohio Inc.	398131	Agent - Health	11/22/1999	5/31/2004
Inactive	Huntington Insurance Agency Inc.	399897	Agent - Life	12/21/1998	7/11/2003