DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Selby, Jon Eric	DOIID	324632	NAIC NPN	7170015

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Credit Life & Health	7/22/1994	6/21/1999
Inactive	Resident	Agent	Life	7/20/1995	7/1/1998
* 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	Alexander Hamilton Life Insurance Co. of America	301779	Agent - Life	3/18/1996	3/5/1998
Inactive	Banc One Kentucky Insurance Company	300824	Agent - Credit Life & Health	7/22/1994	6/27/1996
Inactive	Keyport Life Insurance Company	300319	Agent - Life	9/18/1995	7/1/1998
Inactive	Life Investors Insurance Company of America	301793	Agent - Life	9/19/1995	7/23/1997
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	7/20/1995	3/31/1997
Inactive	Southern Financial Life Insurance Company	300664	Agent - Credit Life & Health	9/28/1998	6/21/1999
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Credit Life & Health	11/8/1996	12/31/1998
Inactive	Western National Life Insurance Company	300461	Agent - Life	2/22/1996	2/10/1998

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Great Financial Services Inc.	399202	Agent - Life	2/22/1996	7/1/1998