DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Tillery, Roy	DOIID	370497	NAIC NPN	7200432

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	8/31/2003
Inactive	Resident	Agent	Credit Life & Health	12/11/1995	8/7/2000
* 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	Investors Heritage Life Insurance Company	300363	Agent - Credit Life & Health	12/8/1997	8/7/2000
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	8/7/2000	8/31/2003
Inactive	Protective Life Insurance Company	300638	Agent - Credit Life & Health	12/11/1995	12/8/1997
Inactive	Protective Life Insurance Company of Kentucky	300663	Agent - Credit Life & Health	3/6/1997	12/8/1997

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Berea Ford Inc.	399526	Agent - Credit Life & Health	12/9/1997	8/7/2000
Inactive	Berea Ford Inc.	399526	Agent - Limited Line Credit	8/7/2000	5/14/2003