DEPARTMENT OF INSURANCE

Affiliations

Name	Elliott Jr, John R	DOIID	392424	NAIC NPN	7209799

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	General Lines	10/26/1994	8/15/2000
Inactive	Resident	Agent	Life	1/5/2009	7/1/2010
Inactive	Resident	Agent	Property	1/5/2009	7/1/2010
Inactive	Resident	Agent	Health	1/5/2009	7/1/2010
Inactive	Resident	Agent	Casualty	1/5/2009	7/1/2010
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	12/13/2000	11/21/2007
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	12/13/2000	11/21/2007
Inactive	American General Assurance Company	300586	Agent - Health	9/13/1999	6/30/2008
Inactive	Colonial American Casualty & Surety Company	300769	Agent - Casualty	3/7/2004	6/30/2008
Inactive	Colonial American Casualty & Surety Company	300769	Agent - Property	3/7/2004	6/30/2008
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Casualty	3/7/2004	6/30/2008
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Property	3/7/2004	6/30/2008
Inactive	Franklin Life Insurance Company (The)	300779	Agent - Health	6/17/1994	4/8/1996
Inactive	Franklin Life Insurance Company (The)	300779	Agent - Life	6/17/1994	4/8/1996
Inactive	Genworth Life Insurance Company	300623	Agent - Health	11/27/2000	12/22/2003
Inactive	Genworth Life Insurance Company	300623	Agent - Life	11/27/2000	12/22/2003
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Health	3/29/1995	6/30/2008
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	3/29/1995	6/30/2008
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Health	1/5/2009	7/1/2010
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Life	1/5/2009	7/1/2010
Inactive	Kentucky National Insurance Company	301625	Agent - Casualty	8/15/2000	6/30/2008
Inactive	Kentucky National Insurance Company	301625	Agent - General Lines	10/26/1994	8/15/2000
Inactive	Kentucky National Insurance Company	301625	Agent - Property	8/15/2000	6/30/2008
Inactive	LifeUSA Insurance Company	300386	Agent - Health	12/13/2000	8/2/2002
Inactive	LifeUSA Insurance Company	300386	Agent - Life	12/13/2000	8/2/2002
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	1/19/1995	12/1/1998
Inactive	National Guardian Life Insurance Company	300596	Agent - Life	1/19/1995	12/1/1998

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	PBK Bank Inc.	400000	Agent - Life	2/6/2004	6/30/2008