DEPARTMENT OF INSURANCE
Affiliations
NameBank, Citizens NationalDOIID337494NAIC NPN7185995
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentLimited Line Credit1/26/2005 10/31/2025
InactiveResidentAgentCredit Life & Health8/8/19958/7/2000 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent08/15/202510/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican Health and Life Insurance Company300844Agent - Limited Line Credit2/11/20049/8/2004
InactiveAmerican Security Insurance Company300901Agent - Limited Line Credit6/6/20024/13/2004
InactiveCNL/Insurance America, Inc.562011Agent - Limited Line Credit4/8/20093/5/2010
InactiveInvestors Heritage Life Insurance Company300363Agent - Limited Line Credit3/28/20164/9/2018
InactiveMinnesota Life Insurance Company300488Agent - Limited Line Credit3/1/20053/14/2018
InactiveSecurian Casualty Company642441Agent - Limited Line Credit1/22/20103/28/2018
InactiveSouthern Financial Life Insurance Company300664Agent - Credit Life & Health3/11/19998/7/2000
ActiveSouthern Financial Life Insurance Company300664Agent - Limited Line Credit10/9/2018 
InactiveStandard Guaranty Insurance Company300902Agent - Limited Line Credit6/4/20024/13/2004
InactiveTransamerica Premier Life Insurance Company300558Agent - Credit Life & Health8/8/19957/29/1996
InactiveTriton Insurance Company300654Agent - Limited Line Credit2/11/20049/8/2004
InactiveUnion Security Life Insurance Company300903Agent - Credit Life & Health11/2/19998/7/2000
InactiveUnion Security Life Insurance Company300903Agent - Limited Line Credit8/7/20004/13/2004
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveCITIZENS BANK & TRUST OF LEBANON398172Agent - Limited Line Credit11/3/2021 
InactivePersonal Finance Company, LLC580976Agent - Limited Line Credit1/25/20074/9/2018
InactiveWashington Mutual Finance Group, Inc.533371Agent - Limited Line Credit7/22/20024/22/2004

© Commonwealth of Kentucky. All rights reserved.