DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Givens, Jayme R	DOIID	325017	NAIC NPN	7170169

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	General Lines	12/22/1995	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	Kentucky National Insurance Company	301625	Agent - General Lines	7/30/1997	7/1/1998
Inactive	RLI Insurance Company	301217	Agent - General Lines	6/28/1996	7/16/1997
Inactive	Western Surety Company	300283	Agent - General Lines	4/25/1996	6/9/1997

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Lewis Davis Ins Service Inc.	398204	Agent - General Lines	12/22/1995	5/27/1997