DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Lafollette, Jim J	DOIID	373843	NAIC NPN	7201832

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	5/31/2005
Inactive	Resident	Agent	Credit Life & Health	8/9/1993	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	National Guardian Life Insurance Company	300596	Agent - Credit Life & Health	8/9/1993	4/6/1998
Inactive	Southern Financial Life Insurance Company	300664	Agent - Credit Life & Health	5/19/1999	8/7/2000
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	8/7/2000	5/31/2005
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Credit Life & Health	1/30/1998	12/23/1998

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Star Bank-N.A.	399936	Agent - Credit Life & Health	6/18/1996	12/23/1998
Inactive	Star Bank-N.A. Kentucky	400284	Agent - Credit Life & Health	10/12/1993	6/11/1996