DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Imes, Kenneth Churchill	DOIID	331628	NAIC NPN	7178961

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Casualty	5/13/2011	3/1/2015
Inactive	Resident	Agent	Health	12/13/2002	3/1/2015
Inactive	Resident	Agent	Property	5/13/2011	3/1/2015
Inactive	Resident	Agent	Life	11/7/2002	3/1/2015
* 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	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	5/16/2006	5/31/2007
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	5/16/2006	5/31/2007
Inactive	Forethought Life Insurance Company	301407	Agent - Life	1/25/1995	7/1/1996
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	5/3/2004	11/23/2005
Inactive	National Guardian Life Insurance Company	300596	Agent - Life	5/3/2004	11/23/2005
Inactive	Southern Financial Life Insurance Company	300664	Agent - Life	7/2/2003	3/1/2015
Inactive	Union Security Insurance Company	301844	Agent - Life	5/10/2004	3/1/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Heritage Funeral Services, LLC	609073	Agent - Life	5/23/2005	3/1/2015
Inactive	Heritage Funeral Services, LLC	609073	Agent - Health	5/23/2005	11/23/2005