DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Adams, Connie M	DOIID	373844	NAIC NPN	7201833

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Credit Life & Health	5/15/1991	8/7/2000
Inactive	Resident	Agent	Life	2/14/1997	7/31/2008
Inactive	Resident	Agent	Limited Line Credit	5/16/2018	7/31/2022
* 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	Banc One Kentucky Insurance Company	300824	Agent - Credit Life & Health	5/15/1991	6/30/1998
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Life	10/9/1998	10/12/2002
Inactive	Everlake Life Insurance Company	300873	Agent - Life	1/13/2003	7/31/2008
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	8/11/1998	4/13/2001
Inactive	Glenbrook Life and Annuity Company	301384	Agent - Life	4/12/1999	1/1/2005
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Credit Life & Health	6/15/2000	8/7/2000
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	6/15/2000	7/31/2008
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	8/7/2000	7/31/2008
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Credit Life & Health	11/24/1998	8/7/2000
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	5/21/2018	7/31/2022
Inactive	Keyport Life Insurance Company	300319	Agent - Life	3/10/1997	5/3/1999
Inactive	Life Investors Insurance Company of America	301793	Agent - Life	2/25/1997	8/13/2003
Inactive	National Guardian Life Insurance Company	300596	Agent - Credit Life & Health	6/22/1998	12/1/1998
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	2/14/1997	7/31/2008
Inactive	Western National Life Insurance Company	300461	Agent - Life	3/12/1999	4/9/1999

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Forcht Bank, NA	556805	Agent - Limited Line Credit	6/30/2018	7/31/2022
Inactive	PRP National Bank	399291	Agent - Limited Line Credit	4/13/2006	2/1/2008