DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Higginbotham, Cynthia Dawn	DOIID	338966	NAIC NPN	7186599

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Homestate	Agent	Life	3/9/2004	7/1/2004
Inactive	Resident	Agent	Credit Life & Health	1/24/1996	8/7/2000
Inactive	Resident	Agent	Limited Line Credit		5/31/2003
* 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	Nationwide Life Insurance Company	300495	Agent - Life	3/9/2004	7/1/2004
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	3/9/2004	7/1/2004
Inactive	Southern Financial Life Insurance Company	300664	Agent - Credit Life & Health	10/1/1998	8/7/2000
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	8/7/2000	1/7/2003
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Credit Life & Health	1/24/1996	9/23/1998
Inactive	Western National Life Insurance Company	300461	Agent - Life	2/12/2002	5/31/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Natcity Insurance Services Inc.	400871	Agent - Life	2/21/2003	5/31/2003
Inactive	National City Bank of Kentucky	400904	Agent - Credit Life & Health	12/8/1999	8/7/2000
Inactive	National City Bank of Kentucky	400904	Agent - Limited Line Credit	8/7/2000	1/7/2003