DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Hackworth, Debra Jean	DOIID	319384	NAIC NPN	7167488

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Denied	Resident	Agent	Life
Denied	Resident	Agent	Health
Inactive	Resident	Agent	Limited Line Credit	3/17/2017	4/30/2020
Inactive	Resident	Agent	General Lines	6/30/1997	3/18/1999
Inactive	Resident	Agent	Credit Life & Health	6/19/1997	3/18/1999
* 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 - Credit Life & Health	6/19/1997	3/18/1999
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	3/17/2017	4/30/2020
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Credit Life & Health	2/12/1999	3/18/1999
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	5/8/2006	4/30/2008
Inactive	Progressive Casualty Insurance Company	300696	Agent - General Lines	6/30/1997	3/31/1998
Inactive	Progressive Max Insurance Company	301034	Agent - General Lines	5/27/1998	3/18/1999
Denied	Southern Financial Life Insurance Company	300664	Agent - Health
Denied	Southern Financial Life Insurance Company	300664	Agent - Life
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	11/19/2001	12/18/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	First Commonwealth Bank of Prestonsburg	400001	Agent - Limited Line Credit	8/16/2011	4/30/2016