DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Martin, Regina Marcella	DOIID	358172	NAIC NPN	7195063

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Limited Line Credit	11/14/2005	5/31/2007
Inactive	Resident	Agent	Credit Life & Health	7/9/1996	8/9/1998
* 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 Assurance Company	300586	Agent - Credit Life & Health	7/9/1996	8/9/1998
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Credit Life & Health	10/30/1997	6/3/1998
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	3/12/2007	5/31/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Jones Buick-GMC Trucks Inc.	398807	Agent - Credit Life & Health	7/9/1996	8/9/1998
Inactive	Morgan Chevrolet Inc.	400240	Agent - Credit Life & Health	10/30/1997	8/9/1998
Inactive	Sutherland Chevrolet Inc.	399515	Agent - Limited Line Credit	3/12/2007	5/31/2007