DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Mills, Elizabeth Ann	DOIID	352491	NAIC NPN	7192558

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Limited Line Credit	11/30/2010	3/31/2012
Inactive	Resident	Temporary Agent	Ordinary Life (Temporary Life)	4/16/1997	7/15/1997
* 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 General Life and Accident Insurance Company	301362	Temporary Agent - Ordinary Life (Temporary Life)	4/16/1997	7/15/1997
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	11/30/2010	3/31/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Forcht Bank, NA	556805	Agent - Limited Line Credit	1/12/2011	3/31/2012