DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Bunnell, Jack Denzil	DOIID	316704	NAIC NPN	7163803

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	General Lines	7/12/1977	8/15/2000
Inactive	Resident	Agent	Casualty	8/15/2000	9/30/2012
Inactive	Resident	Agent	Life	5/3/1982	9/30/2012
Inactive	Resident	Agent	Property	8/15/2000	9/30/2012
Inactive	Resident	Agent	Health	5/3/1982	9/30/2012
AFFIDAVIT ON FILE
* 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 - Health	5/3/1982	9/30/2012
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	5/3/1982	9/30/2012
Inactive	Kentucky National Insurance Company	301625	Agent - Casualty	8/15/2000	9/30/2012
Inactive	Kentucky National Insurance Company	301625	Agent - General Lines	7/12/1977	8/15/2000
Inactive	Kentucky National Insurance Company	301625	Agent - Property	8/15/2000	9/30/2012
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	5/12/1986	12/11/2002
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	5/12/1986	12/11/2002
Inactive	Omni Insurance Company	301545	Agent - General Lines	12/15/1992	7/26/1996
Inactive	Surety Life Insurance Company	301689	Agent - Health	9/27/1995	3/31/1997
Inactive	Surety Life Insurance Company	301689	Agent - Life	9/27/1995	3/31/1997
Inactive	Western Surety Company	300283	Agent - Casualty	8/15/2000	12/11/2002
Inactive	Western Surety Company	300283	Agent - General Lines	7/2/1997	8/15/2000

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dgm Insurance Management Inc.	399181	Agent - General Lines	5/21/1993	8/15/2000
Inactive	Dgm Insurance Management Inc.	399181	Agent - Life	5/21/1993	9/30/2012
Inactive	Dgm Insurance Management Inc.	399181	Agent - Health	5/21/1993	9/30/2012
Inactive	Dgm Insurance Management Inc.	399181	Agent - Property	8/15/2000	9/30/2012
Inactive	Dgm Insurance Management Inc.	399181	Agent - Casualty	8/15/2000	9/30/2012