DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Simon Jr, William E	DOIID	392214	NAIC NPN	7209725

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Credit Life & Health	10/24/1989	2/23/1998
Inactive	Resident	Agent	Limited Line Credit	1/10/2007	3/10/2008
* 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	1/10/2007	3/10/2008
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Credit Life & Health	10/24/1989	2/23/1998

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Boone National Bank	525342	Agent - Limited Line Credit	3/27/2007	4/9/2007