DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Polin, Joseph Robert	DOIID	381478	NAIC NPN	7205194

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Credit Life & Health	9/23/1994	8/7/2000
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	2/28/2017
Inactive	Resident	Agent	Health	3/15/1993	12/31/1998
Inactive	Resident	Agent	Life	3/15/1993	12/31/1998
* 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 General Assurance Company	300586	Agent - Health	3/15/1993	3/31/1997
Inactive	American General Assurance Company	300586	Agent - Life	3/15/1993	3/31/1997
Inactive	Citizens Security Life Insurance Company	301257	Agent - Limited Line Credit	6/15/2001	12/18/2003
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	4/19/1995	12/31/1998
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	4/19/1995	12/31/1998
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	8/7/2000	1/8/2010
Inactive	National Guardian Life Insurance Company	300596	Agent - Credit Life & Health	9/23/1994	12/1/1998
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	3/6/2008	2/28/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Springfield State Bank	400591	Agent - Limited Line Credit	1/18/2005	2/28/2017