DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Tackett, William	DOIID	371103	NAIC NPN	7200647

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Credit Life & Health	11/7/1995	8/7/2000
Inactive	Resident	Agent	Life	7/16/1992	7/1/2009
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	7/10/2001
* 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 National Insurance Company	301861	Agent - Credit Life & Health	11/7/1995	8/7/2000
Inactive	American National Insurance Company	301861	Agent - Limited Line Credit	8/7/2000	7/10/2001
Inactive	Forethought Life Insurance Company	301407	Agent - Life	7/16/1992	3/29/2001
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	2/6/2001	7/1/2009
Inactive	Union Security Insurance Company	301844	Agent - Life	7/11/2002	1/9/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Advanced Planning of Kentucky	398593	Agent - Life	10/27/1992	5/31/2004
Inactive	Gregory D. Walker Management Co., Inc.	524775	Agent - Life	2/12/2004	5/31/2005