DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Ellis, Elizabeth Ann	DOIID	382064	NAIC NPN	7205484

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	8/27/2007	11/9/2008
Inactive	Resident	Agent	Health	8/27/2007	11/9/2008
Inactive	Resident	Agent	Credit Life & Health	6/10/1996	3/31/1999
* 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 United Life Insurance Company	300498	Agent - Credit Life & Health	4/30/1997	3/31/1999
Inactive	Everlake Life Insurance Company	300873	Agent - Life	3/1/2005	11/30/2006
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	11/20/2007	4/16/2008
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	6/23/2003	12/16/2004
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Life	10/2/2007	4/16/2008
Inactive	Prudential Insurance Company of America	300784	Agent - Credit Life & Health	6/10/1996	3/31/1997
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Life	5/13/2005	11/30/2006
Inactive	Western National Life Insurance Company	300461	Agent - Life	10/3/2007	4/28/2008
Inactive	Western-Southern Life Assurance Company	301590	Agent - Health	10/1/2007	4/11/2008
Inactive	Western-Southern Life Assurance Company	301590	Agent - Life	10/1/2007	4/11/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fifth Third Bank of Northern Kentucky Inc.	398192	Agent - Credit Life & Health	6/25/1996	3/11/1997
Inactive	Fifth Third Insurance Agency Inc	399341	Agent - Life	10/8/2007	4/28/2008
Inactive	Fifth Third Insurance Agency Inc	399341	Agent - Health	10/19/2000	11/30/2006
Inactive	Fifth Third Savings Bank of Northern KY FSB	400902	Agent - Credit Life & Health	6/25/1996	3/11/1997