DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Bourne, Robert L	DOIID	340124	NAIC NPN	101102

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	12/8/2003
Inactive	Resident	Agent	Credit Life & Health	3/28/1994	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	Bankers Life Insurance Company	301784	Agent - Credit Life & Health	3/25/1996	3/31/1997
Inactive	Federal Home Life Insurance Company	301302	Agent - Credit Life & Health	3/28/1994	3/22/1996
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Credit Life & Health	4/3/1997	11/13/1997
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Credit Life & Health	11/24/1998	8/7/2000
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	8/7/2000	12/8/2003
Inactive	National Guardian Life Insurance Company	300596	Agent - Credit Life & Health	11/13/1997	12/1/1998

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Auto Summit of America Inc.	509531	Agent - Limited Line Credit	9/11/2001	12/8/2003
Inactive	Cole Ford-Mercury of Winchester Inc.	398528	Agent - Credit Life & Health	4/7/1997	11/13/1997
Inactive	Harrodsburg Ford-Mercury Inc.	400772	Agent - Credit Life & Health	8/3/2000	8/7/2000
Inactive	Harrodsburg Ford-Mercury Inc.	400772	Agent - Limited Line Credit	8/7/2000	5/31/2003