DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Mabry, Roma June	DOIID	340024	NAIC NPN	7187054

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Debtors Life	11/22/1999	8/7/2000
Inactive	Resident	Agent	Credit Life & Health	3/17/2000	8/7/2000
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	1/31/2014
* 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	CICA Life Insurance Company of America	600487	Agent - Limited Line Credit	1/1/2005	2/20/2007
Inactive	First Alliance Insurance Company	301000	Agent - Limited Line Credit	12/5/2002	1/1/2005
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	10/8/2001	1/31/2014
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Credit Life & Health	3/17/2000	8/7/2000
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	8/7/2000	9/10/2001
Inactive	Southern Financial Life Insurance Company	300664	Agent - Debtors Life	11/22/1999	8/7/2000
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	8/7/2000	1/31/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Kentucky Farmers Bank	398180	Agent - Limited Line Credit	7/22/2011	4/1/2013