DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Blue Grass Chrysler-Plymouth Inc.	DOIID	398419	NAIC NPN	7220878

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Credit Life & Health	7/8/1993	8/7/2000
Inactive	Non Resident	Agent	Limited Line Credit	8/7/2000	5/31/2003
* 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	Bankers Life Insurance Company	301784	Agent - Credit Life & Health	4/10/1997	4/23/1997
Inactive	Federal Home Life Insurance Company	301302	Agent - Credit Life & Health	7/8/1993	7/5/1996
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Credit Life & Health	4/24/1997	8/7/2000
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	8/7/2000	5/31/2003

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Coomer, Doug	336845	Agent - Credit Life & Health	8/15/1995	3/22/1996
Inactive	Marcum, Michael Shane	313563	Agent - Credit Life & Health	4/24/1997	8/7/2000
Inactive	Marcum, Michael Shane	313563	Agent - Limited Line Credit	8/7/2000	5/31/2003