DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Conley, Grace E	DOIID	354284	NAIC NPN	1502714

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	11/17/1995	12/1/2000
Inactive	Resident	Agent	Life	11/17/1995	12/1/2000
* 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 States Insurance Company	301230	Agent - Health	11/17/1995	12/1/2000
Inactive	American States Life Insurance Company	301884	Agent - Life	11/17/1995	12/1/2000
Inactive	Bankers United Life Assurance Company	300296	Agent - Health	7/19/1996	3/31/1997
Inactive	Bankers United Life Assurance Company	300296	Agent - Life	7/19/1996	3/31/1997
Inactive	Pioneer Life Insurance Company	300110	Agent - Health	7/19/1996	12/1/2000
Inactive	Pioneer Life Insurance Company	300110	Agent - Life	7/19/1996	12/1/2000
Inactive	Symetra Life Insurance Company	301691	Agent - Health	11/1/1998	3/18/1999
Inactive	Symetra Life Insurance Company	301691	Agent - Life	11/1/1998	3/18/1999

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	West Kentucky Group Benefits	401049	Agent - Health	12/28/1998	12/1/2000
Inactive	West Kentucky Group Benefits	401049	Agent - Life	12/28/1998	12/1/2000