DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Jolly, Ronald J	DOIID	311415	NAIC NPN	1493896

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Credit Life & Health	8/6/1997	8/7/2000
Inactive	Resident	Agent	Life	1/22/1998	1/31/2008
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	1/31/2008
AFFIDAVIT ON FILE
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Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Alexander Hamilton Life Insurance Co. of America	301779	Agent - Life	1/22/1998	8/1/2000
Inactive	Individual Assurance Company Life Health & Accident	300580	Agent - Credit Life & Health	1/25/1999	8/7/2000
Inactive	Individual Assurance Company Life Health & Accident	300580	Agent - Limited Line Credit	8/7/2000	8/30/2000
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	8/1/2000	7/2/2007
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Credit Life & Health	5/25/1999	8/7/2000
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	8/7/2000	1/7/2008
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	7/2/2007	1/31/2008
Inactive	Southern Financial Life Insurance Company	300664	Agent - Credit Life & Health	9/28/1998	12/30/1998
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Credit Life & Health	8/6/1997	12/23/1998

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Republic Bank & Trust Company	398358	Agent - Limited Line Credit	2/27/2004	1/7/2008