DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Ripperdan, M Kevin	DOIID	355088	NAIC NPN	7193680

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	9/30/1988	5/27/1999
* 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	Citizens Security Life Insurance Company	301257	Agent - Life	12/30/1998	5/27/1999
Inactive	Forethought Life Insurance Company	301407	Agent - Life	8/15/1995	11/4/1996
Denied	Lincoln Heritage Life Insurance Company	500016	Agent - Life
Inactive	Mid-West National Life Insurance Company of Tennessee	300097	Agent - Life	12/9/1996	1/31/1997

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arch L. Heady & Son Gold Key Inc.	400088	Agent - Life	9/30/1988	11/4/1996