DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Green, Roger Michael	DOIID	385918	NAIC NPN	7207159

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	3/31/2017
Inactive	Resident	Agent	Debtors Life	8/9/1999	8/7/2000
Inactive	Resident	Agent	Credit Life & Health	6/4/1993	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	Fidelity Security Life Insurance Company	300466	Agent - Limited Line Credit	8/26/2002	11/10/2006
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Credit Life & Health	11/24/1998	4/26/1999
Inactive	National Guardian Life Insurance Company	300596	Agent - Credit Life & Health	12/28/1995	12/1/1998
Inactive	Southern Financial Life Insurance Company	300664	Agent - Credit Life & Health	9/24/1998	8/7/2000
Inactive	Southern Financial Life Insurance Company	300664	Agent - Debtors Life	8/9/1999	8/7/2000
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	8/7/2000	6/28/2016
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Credit Life & Health	6/4/1993	3/31/1997

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Leitchfield Deposit Bank & Trust Company	399402	Agent - Credit Life & Health	2/9/1996	8/7/2000
Inactive	Leitchfield Deposit Bank & Trust Company	399402	Agent - Limited Line Credit	8/7/2000	6/28/2016