DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Kozlove, Lawrence M	DOIID	386292	NAIC NPN	7207302

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Credit Life & Health	6/5/1986	8/7/2000
Inactive	Resident	Agent	Limited Line Credit	5/20/2002	8/31/2005
* 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	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	5/20/2002	8/31/2005
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Credit Life & Health	6/5/1986	8/7/2000
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Limited Line Credit	8/7/2000	9/4/2001

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	PNC Bank-Kentucky Inc.	400578	Agent - Credit Life & Health	8/18/1993	2/22/1999
Inactive	Republic Bank & Trust Company	398358	Agent - Limited Line Credit	2/27/2004	8/31/2005