DEPARTMENT OF INSURANCE

Affiliations

Name	Kemp Jr, William Logan	DOIID	393456	NAIC NPN	7210151

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	5/8/1987	4/30/2015
Inactive	Resident	Agent	Prepaid Dental Plan	2/14/1984	8/9/1999
Inactive	Resident	Agent	General Lines	3/28/1990	8/15/2000
Inactive	Resident	Agent	Health	5/8/1987	4/30/2015
Inactive	Resident	Agent	Casualty	8/15/2000	4/30/2015
Inactive	Resident	Agent	Property	8/15/2000	4/30/2015
AFFIDAVIT ON FILE
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Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Anthem Life Insurance Company	301209	Agent - Health	12/9/1999	4/30/2015
Inactive	Anthem Life Insurance Company	301209	Agent - Life	12/9/1999	4/30/2015
Inactive	CompDent Corporation	301387	Agent - Prepaid Dental Plan	2/14/1984	8/9/1999
Inactive	Continental General Insurance Company	300691	Agent - Health	6/3/1987	7/31/2000
Inactive	Continental General Insurance Company	300691	Agent - Life	6/3/1987	7/31/2000
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	2/18/1994	3/15/1996
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	2/18/1994	3/15/1996
Inactive	Kentucky National Insurance Company	301625	Agent - Casualty	8/15/2000	4/30/2015
Inactive	Kentucky National Insurance Company	301625	Agent - General Lines	3/28/1990	8/15/2000
Inactive	Kentucky National Insurance Company	301625	Agent - Property	8/15/2000	4/30/2015
Inactive	LifeUSA Insurance Company	300386	Agent - Health	3/30/1993	3/8/1996
Inactive	LifeUSA Insurance Company	300386	Agent - Life	3/30/1993	3/8/1996
Inactive	Pan-American Life Insurance Company	301530	Agent - Health	5/8/1991	3/31/1997
Inactive	Pan-American Life Insurance Company	301530	Agent - Life	5/8/1991	3/31/1997
Inactive	Philadelphia American Life Insurance Company	300178	Agent - Health	1/26/1994	3/31/1997
Inactive	Philadelphia American Life Insurance Company	300178	Agent - Life	1/26/1994	3/31/1997
Inactive	State Life Insurance Company	301497	Agent - Health	7/15/1994	4/30/2015
Inactive	State Life Insurance Company	301497	Agent - Life	7/15/1994	4/30/2015
Inactive	United American Insurance Company	300910	Agent - Health	5/8/1987	4/30/2015
Inactive	United American Insurance Company	300910	Agent - Life	5/8/1987	4/30/2015
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	1/18/1995	7/22/1999
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	1/18/1995	7/22/1999

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acordia of Louisville Inc.	401252	Agent - Life	7/1/1993	2/28/2003
Inactive	Acordia of Louisville Inc.	401252	Agent - Health	7/1/1993	2/28/2003
Inactive	Acordia of Louisville Inc.	401252	Agent - General Lines	7/1/1993	8/15/2000
Inactive	Acordia of Louisville Inc.	401252	Agent - Property	8/15/2000	5/31/2003
Inactive	Acordia of Louisville Inc.	401252	Agent - Casualty	8/15/2000	12/10/2001
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	8/25/1999	6/23/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	8/25/1999	6/23/2008