DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Polley, Darrell Lynn	DOIID	351187	NAIC NPN	7191991

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Limited Line Credit	9/16/2010	12/31/2013
Inactive	Resident	Agent	Life	10/16/2006	1/1/2010
Inactive	Resident	Agent	Health	10/16/2006	1/1/2010
Inactive	Resident	Agent	Credit Life & Health	1/25/1999	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	American National Insurance Company	301861	Agent - Limited Line Credit	9/16/2010	8/26/2013
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Health	10/14/2008	1/1/2010
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Life	10/14/2008	1/1/2010
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	1/20/2009	5/1/2009
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	1/20/2009	5/1/2009
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	1/20/2009	5/1/2009
Inactive	Southern Financial Life Insurance Company	300664	Agent - Credit Life & Health	1/25/1999	8/7/2000
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	8/7/2000	2/29/2004
Inactive	Woodmen of the World Life Insurance Society	301446	Agent - Health	10/16/2006	12/13/2007
Inactive	Woodmen of the World Life Insurance Society	301446	Agent - Life	10/16/2006	12/13/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Larry Fannin's Family Ford-Mercury, LLC	629363	Agent - Limited Line Credit	10/8/2010	3/31/2012