DEPARTMENT OF INSURANCE

Affiliations

Name	Kentucky Insurance Management Inc.	DOIID	398525	NAIC NPN	7220967

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	4/14/1992	6/7/2000
Inactive	Resident	Agent	Health	4/14/1992	6/7/2000
Inactive	Resident	Agent	General Lines	9/20/1991	8/15/2000
Inactive	Resident	Agent	Property	8/15/2000	2/18/2004
Inactive	Resident	Agent	Casualty	8/15/2000	2/18/2004
* 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	Anthem Life Insurance Company	301209	Agent - Health	2/29/1996	6/7/2000
Inactive	Anthem Life Insurance Company	301209	Agent - Life	2/29/1996	6/7/2000
Inactive	Conseco Medical Insurance Company	300719	Agent - Health	4/7/1995	3/24/1998
Inactive	Conseco Medical Insurance Company	300719	Agent - Life	4/7/1995	3/24/1998
Inactive	Encova Life Insurance Company	301818	Agent - Health	4/14/1992	12/31/1998
Inactive	Encova Life Insurance Company	301818	Agent - Life	4/14/1992	12/31/1998
Inactive	Great American Alliance Insurance Company	301247	Agent - Casualty	8/15/2000	6/5/2002
Inactive	Great American Alliance Insurance Company	301247	Agent - General Lines	3/25/1996	8/15/2000
Inactive	Great American Alliance Insurance Company	301247	Agent - Property	8/15/2000	6/5/2002
Inactive	Great American Assurance Company	300327	Agent - Casualty	8/15/2000	6/5/2002
Inactive	Great American Assurance Company	300327	Agent - General Lines	3/20/1996	8/15/2000
Inactive	Great American Assurance Company	300327	Agent - Property	8/15/2000	6/5/2002
Inactive	Great American Insurance Company	301586	Agent - Casualty	8/15/2000	6/5/2002
Inactive	Great American Insurance Company	301586	Agent - General Lines	12/9/1994	8/15/2000
Inactive	Great American Insurance Company	301586	Agent - Property	8/15/2000	6/5/2002
Inactive	Great American Insurance Company of New York	301897	Agent - Casualty	8/15/2000	6/5/2002
Inactive	Great American Insurance Company of New York	301897	Agent - General Lines	12/9/1994	8/15/2000
Inactive	Great American Insurance Company of New York	301897	Agent - Property	8/15/2000	6/5/2002
Inactive	Great American Security Insurance Company	301228	Agent - General Lines	12/9/1994	3/31/1998
Inactive	Great American Spirit Insurance Company	300233	Agent - General Lines	12/9/1994	3/31/1996
Inactive	John Alden Life Insurance Company	300573	Agent - Health	5/8/1992	3/31/1997
Inactive	John Alden Life Insurance Company	300573	Agent - Life	5/8/1992	3/31/1997
Inactive	MICO Insurance Company	301664	Agent - General Lines	9/20/1991	3/31/1998
Inactive	Motorists Mutual Insurance Company	300963	Agent - General Lines	9/20/1991	6/30/1996
Inactive	Reassure America Life Insurance Company	300678	Agent - Health	11/4/1994	3/31/1997
Inactive	Reassure America Life Insurance Company	300678	Agent - Life	11/4/1994	3/31/1997
Inactive	Western Surety Company	300283	Agent - General Lines	10/25/1995	3/31/1998
Inactive	Windhaven National Insurance Company	300094	Agent - General Lines	10/4/1993	9/9/1996

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acordia of Louisville Inc.	401252	Agent - Health	7/1/1993	12/31/2001
Inactive	Acordia of Louisville Inc.	401252	Agent - Life	7/1/1993	12/31/2001
Inactive	Hawkins, Richard A	372120	Agent - Casualty	8/15/2000	6/5/2002
Inactive	Hawkins, Richard A	372120	Agent - General Lines	4/14/1992	8/15/2000
Inactive	Hawkins, Richard A	372120	Agent - Health	4/14/1992	6/7/2000
Inactive	Hawkins, Richard A	372120	Agent - Life	4/14/1992	6/7/2000
Inactive	Hawkins, Richard A	372120	Agent - Property	8/15/2000	6/5/2002
Inactive	Medlink Inc	400721	Agent - Health	7/15/1996	12/31/2001
Inactive	Medlink Inc	400721	Agent - Life	7/15/1996	12/31/2001