DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Bennett, Donna G	DOIID	312410	NAIC NPN	7161392

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	10/4/2001	7/1/2004
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	8/31/2004
Inactive	Resident	Agent	Health	10/4/2001	7/1/2004
Inactive	Resident	Agent	Credit Life & Health	2/7/1997	8/7/2000
* 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	Jackson National Life Insurance Company	300486	Agent - Life	9/30/2002	6/24/2004
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Credit Life & Health	11/24/1998	5/10/1999
Inactive	National Guardian Life Insurance Company	300596	Agent - Credit Life & Health	2/7/1997	12/1/1998
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	6/23/2003	7/1/2004
Inactive	Southern Financial Life Insurance Company	300664	Agent - Credit Life & Health	8/26/1999	8/7/2000
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	8/7/2000	12/26/2002
Inactive	Western National Life Insurance Company	300461	Agent - Life	10/15/2001	6/29/2004
Inactive	Western-Southern Life Assurance Company	301590	Agent - Health	10/4/2001	6/21/2004
Inactive	Western-Southern Life Assurance Company	301590	Agent - Life	10/4/2001	6/21/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fifth Third Insurance Agency Inc	399341	Agent - Life	4/27/2004	7/1/2004