DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Ballard, Doris Jean	DOIID	364718	NAIC NPN	7197932

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Credit Life & Health	10/17/1994	8/7/2000
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	12/31/2004
* 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 United Life Insurance Company	300498	Agent - Credit Life & Health	3/6/1997	7/29/1999
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Credit Life & Health	7/29/1999	8/7/2000
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	8/7/2000	12/31/2004
Inactive	Parker Centennial Assurance Company	300134	Agent - Credit Life & Health	10/17/1994	5/23/1996
Inactive	Prudential Insurance Company of America	300784	Agent - Credit Life & Health	5/23/1996	3/6/1997

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fifth Third Bank of Kentucky Inc.	399083	Agent - Credit Life & Health	4/16/1997	3/31/1999