DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Shouse, Wanda F	DOIID	331609	NAIC NPN	7178933

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	12/15/2004
Inactive	Resident	Agent	Life	11/11/1997	7/1/2002
Inactive	Resident	Agent	Credit Life & Health	2/24/1994	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	Banc One Kentucky Insurance Company	300824	Agent - Credit Life & Health	2/24/1994	8/7/2000
Inactive	Banc One Kentucky Insurance Company	300824	Agent - Limited Line Credit	8/7/2000	7/9/2001
Inactive	First Alliance Insurance Company	301000	Agent - Limited Line Credit	4/2/2001	10/27/2004
Inactive	Glenbrook Life and Annuity Company	301384	Agent - Life	4/12/1999	11/30/2000
Inactive	Keyport Life Insurance Company	300319	Agent - Life	10/10/2000	7/1/2002
Inactive	Life Investors Insurance Company of America	301793	Agent - Life	11/20/1997	7/1/2002
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	11/11/1997	12/27/2000
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	2/18/1999	7/1/2002
Inactive	Western National Life Insurance Company	300461	Agent - Life	3/15/1999	11/7/2000

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Stock Yards Bank And Trust Co.	400299	Agent - Limited Line Credit	11/25/2003	10/27/2004