DEPARTMENT OF INSURANCE

Affiliations

Name	Tackett, Belinda S	DOIID	377356	NAIC NPN	1866293

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	General Lines	7/19/1995	8/15/2000
Pending Replacement	Resident	Agent	Property	5/31/2013		5/31/2024
Pending Replacement	Resident	Agent	Life	5/31/2013		5/31/2024
Pending Replacement	Resident	Agent	Casualty	5/31/2013		5/31/2024
Pending Replacement	Resident	Agent	Health	5/31/2013		5/31/2024
* 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	ACE American Insurance Company	300625	Agent - Casualty	8/15/2000	5/7/2003
Inactive	ACE American Insurance Company	300625	Agent - General Lines	7/1/1998	8/15/2000
Inactive	ACE American Insurance Company	300625	Agent - Property	8/15/2000	5/7/2003
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Casualty	8/15/2000	5/7/2003
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - General Lines	7/1/1998	8/15/2000
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Property	8/15/2000	5/7/2003
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	8/15/2000	5/7/2003
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - General Lines	7/1/1998	8/15/2000
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Property	8/15/2000	5/7/2003
Inactive	AIG Assurance Company	300897	Agent - Casualty	8/15/2000	6/30/2005
Inactive	AIG Assurance Company	300897	Agent - General Lines	2/11/2000	8/15/2000
Inactive	AIG Assurance Company	300897	Agent - Property	8/15/2000	6/30/2005
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	10/14/2002	6/1/2012
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Property	10/14/2002	6/1/2012
Inactive	American States Life Insurance Company	301884	Agent - Life	2/9/1998	12/6/2004
Inactive	American Zurich Insurance Company	300592	Agent - Casualty	10/14/2002	6/1/2012
Inactive	American Zurich Insurance Company	300592	Agent - Property	10/14/2002	6/1/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/14/1996	6/1/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/14/1996	6/1/2012
Inactive	Assurance Company of America	300432	Agent - Casualty	8/15/2000	6/1/2012
Inactive	Assurance Company of America	300432	Agent - General Lines	1/18/1996	8/15/2000
Inactive	Assurance Company of America	300432	Agent - Property	8/15/2000	6/1/2012
Inactive	Atlantic Specialty Insurance Company	518595	Agent - Casualty	2/5/2004	9/29/2005
Inactive	Atlantic Specialty Insurance Company	518595	Agent - Property	2/5/2004	9/29/2005
Inactive	Bankers Standard Insurance Company	301620	Agent - Casualty	8/15/2000	5/7/2003
Inactive	Bankers Standard Insurance Company	301620	Agent - General Lines	7/1/1998	8/15/2000
Inactive	Bankers Standard Insurance Company	301620	Agent - Property	8/15/2000	5/7/2003
Inactive	Beazley Insurance Company, Inc.	300899	Agent - Casualty	8/15/2000	6/17/2005
Inactive	Beazley Insurance Company, Inc.	300899	Agent - General Lines	2/29/1996	8/15/2000
Inactive	Beazley Insurance Company, Inc.	300899	Agent - Property	8/15/2000	6/17/2005
Inactive	Colonial American Casualty & Surety Company	300769	Agent - Casualty	10/14/2002	6/1/2012
Inactive	Colonial American Casualty & Surety Company	300769	Agent - Property	10/14/2002	6/1/2012
Inactive	Continental Insurance Company (The)	301242	Agent - General Lines	7/28/1998	12/30/1999
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	8/15/2000	6/13/2011
Inactive	Dairyland Insurance Company	301370	Agent - General Lines	3/20/2000	8/15/2000
Inactive	Dairyland Insurance Company	301370	Agent - Property	8/15/2000	6/13/2011
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Health	10/22/1997	10/18/1999
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	10/22/1997	10/18/1999
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Casualty	10/14/2002	6/1/2012
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Property	10/14/2002	6/1/2012
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	10/24/2002	11/24/2003
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	10/24/2002	11/24/2003
Inactive	Glatfelter Insurance Company	301640	Agent - Casualty	10/14/2002	11/30/2007
Inactive	Glatfelter Insurance Company	301640	Agent - Property	10/14/2002	11/30/2007
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	7/9/2003	6/30/2005
Inactive	Illinois National Insurance Company	301367	Agent - General Lines	2/11/2000	8/15/2000
Inactive	Illinois National Insurance Company	301367	Agent - Property	7/9/2003	6/30/2005
Inactive	Indemnity Insurance Company of North America	301760	Agent - Casualty	8/15/2000	5/7/2003
Inactive	Indemnity Insurance Company of North America	301760	Agent - General Lines	7/1/1998	8/15/2000
Inactive	Indemnity Insurance Company of North America	301760	Agent - Property	8/15/2000	5/7/2003
Inactive	Independent Mutual Fire Insurance Company	300851	Agent - Casualty	1/2/2008	12/4/2009
Inactive	Independent Mutual Fire Insurance Company	300851	Agent - Property	1/2/2008	12/4/2009
Inactive	Insurance Company of North America	300226	Agent - Casualty	8/15/2000	5/7/2003
Inactive	Insurance Company of North America	300226	Agent - General Lines	7/1/1998	8/15/2000
Inactive	Insurance Company of North America	300226	Agent - Property	8/15/2000	5/7/2003
Inactive	MEGA Life and Health Insurance Company (The)	300751	Agent - Health	4/26/2005	1/6/2006
Inactive	MEGA Life and Health Insurance Company (The)	300751	Agent - Life	4/26/2005	1/6/2006
Inactive	Maryland Casualty Company	301719	Agent - Casualty	8/15/2000	6/1/2012
Inactive	Maryland Casualty Company	301719	Agent - General Lines	1/18/1996	8/15/2000
Inactive	Maryland Casualty Company	301719	Agent - Property	8/15/2000	6/1/2012
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	12/20/1994	1/4/1996
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	10/14/2002	6/1/2012
Inactive	Northern Insurance Company of New York	301317	Agent - Property	10/14/2002	6/1/2012
Inactive	Pacific Employers Insurance Company	301753	Agent - Casualty	8/15/2000	5/7/2003
Inactive	Pacific Employers Insurance Company	301753	Agent - General Lines	8/13/1998	8/15/2000
Inactive	Pacific Employers Insurance Company	301753	Agent - Property	8/15/2000	5/7/2003
Inactive	Pioneer Life Insurance Company	300110	Agent - Health	10/3/1995	10/23/2002
Inactive	Pioneer Life Insurance Company	300110	Agent - Life	10/3/1995	10/23/2002
Inactive	Provident Indemnity Life Insurance Company	301218	Agent - Health	12/9/1994	3/31/1997
Inactive	Provident Indemnity Life Insurance Company	301218	Agent - Life	12/9/1994	3/31/1997
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	8/15/2000	10/27/2005
Inactive	Standard Fire Insurance Company (The)	301068	Agent - General Lines	5/30/2000	8/15/2000
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	8/15/2000	10/27/2005
Inactive	State Farm Fire and Casualty Company	301809	Agent - General Lines	7/19/1995	2/25/1998
Inactive	State Farm General Insurance Company	301122	Agent - General Lines	7/19/1995	2/25/1998
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - General Lines	7/19/1995	2/25/1998
Inactive	Symetra Life Insurance Company	301691	Agent - Health	11/1/1998	12/16/2005
Inactive	Symetra Life Insurance Company	301691	Agent - Life	11/1/1998	12/16/2005
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	8/15/2000	10/27/2005
Inactive	The Phoenix Insurance Company	301502	Agent - General Lines	5/30/2000	8/15/2000
Inactive	The Phoenix Insurance Company	301502	Agent - Property	8/15/2000	10/27/2005
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	1/2/2008	12/4/2009
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	1/2/2008	12/4/2009
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Casualty	9/3/2002	10/27/2005
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Property	9/3/2002	10/27/2005
Inactive	Travelers Casualty and Surety Company	301067	Agent - Casualty	8/15/2000	10/27/2005
Inactive	Travelers Casualty and Surety Company	301067	Agent - General Lines	5/30/2000	8/15/2000
Inactive	Travelers Casualty and Surety Company	301067	Agent - Property	8/15/2000	10/27/2005
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - Casualty	8/15/2000	10/27/2005
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - General Lines	5/30/2000	8/15/2000
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - Property	8/15/2000	10/27/2005
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	7/19/2005	10/27/2005
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	7/19/2005	10/27/2005
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	8/15/2000	10/27/2005
Inactive	Travelers Indemnity Company (The)	301855	Agent - General Lines	5/30/2000	8/15/2000
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	8/15/2000	10/27/2005
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	8/15/2000	10/27/2005
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - General Lines	5/30/2000	8/15/2000
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	8/15/2000	10/27/2005
Inactive	Travelers Property Casualty Company of America	301649	Agent - Casualty	8/15/2000	10/27/2005
Inactive	Travelers Property Casualty Company of America	301649	Agent - General Lines	5/30/2000	8/15/2000
Inactive	Travelers Property Casualty Company of America	301649	Agent - Property	8/15/2000	10/27/2005
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Casualty	9/3/2002	10/27/2005
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Property	9/3/2002	10/27/2005
Inactive	Union Security Insurance Company	301844	Agent - Health	3/25/1998	3/1/2004
Inactive	Union Security Insurance Company	301844	Agent - Life	3/25/1998	3/1/2004
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	12/20/1994	1/4/1996
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	12/20/1994	1/4/1996
Inactive	Zurich American Insurance Company	301121	Agent - Casualty	10/14/2002	6/1/2012
Inactive	Zurich American Insurance Company	301121	Agent - Property	10/14/2002	6/1/2012
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	10/14/2002	6/1/2012
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Property	10/14/2002	6/1/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acordia of Eastern Kentucky-Pikeville Inc.	398199	Agent - General Lines	9/13/1997	11/19/1998
Inactive	Acordia of Eastern Kentucky-Pikeville Inc.	398199	Agent - Life	9/13/1997	11/19/1998
Inactive	Acordia of Eastern Kentucky-Pikeville Inc.	398199	Agent - Health	9/13/1997	11/19/1998
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	10/3/1996	2/28/2003
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	10/3/1996	2/28/2003
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997
Inactive	Wells Fargo Insurance Services Of Kentucky Inc	399414	Agent - General Lines	10/22/1998	8/15/2000
Inactive	Wells Fargo Insurance Services Of Kentucky Inc	399414	Agent - Life	10/22/1998	2/1/2005
Inactive	Wells Fargo Insurance Services Of Kentucky Inc	399414	Agent - Health	10/22/1998	2/1/2005
Inactive	Wells Fargo Insurance Services Of Kentucky Inc	399414	Agent - Property	8/15/2000	2/1/2005
Inactive	Wells Fargo Insurance Services Of Kentucky Inc	399414	Agent - Casualty	8/15/2000	2/1/2005