DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Basham, George Morten	DOIID	337893	NAIC NPN	7186157

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	9/30/2012
Inactive	Resident	Agent	Credit Life & Health	12/28/1989	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	Fidelity Security Life Insurance Company	300466	Agent - Limited Line Credit	8/26/2002	11/10/2006
Inactive	First Alliance Insurance Company	301000	Agent - Credit Life & Health	12/14/1998	8/7/2000
Inactive	First Alliance Insurance Company	301000	Agent - Limited Line Credit	8/7/2000	10/9/2000
Inactive	Franklin Life Insurance Company (The)	300779	Agent - Credit Life & Health	9/26/1994	3/25/1996
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Credit Life & Health	12/28/1989	8/7/2000
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	8/7/2000	9/30/2012
Inactive	Southern Financial Life Insurance Company	300664	Agent - Credit Life & Health	10/2/1998	1/25/1999
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	8/18/2000	9/30/2012
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Credit Life & Health	12/18/1995	9/28/1998

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Citizens Bank & Trust Co of Grayson Co.	400574	Agent - Credit Life & Health	5/9/1990	8/7/2000
Inactive	Citizens Bank & Trust Co of Grayson Co.	400574	Agent - Limited Line Credit	8/7/2000	2/19/2004
Inactive	Leitchfield Deposit Bank & Trust Company	399402	Agent - Limited Line Credit	12/24/2003	9/30/2012