DEPARTMENT OF INSURANCE

Affiliations

Name	Polston Insurance Inc.	DOIID	398548	NAIC NPN	7220988

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	3/15/1994	12/27/1996
Inactive	Resident	Agent	Life	7/25/1994	1/16/2001
Inactive	Resident	Agent	Property	8/15/2000	4/22/2002
Inactive	Resident	Agent	General Lines	4/29/1994	8/15/2000
Inactive	Resident	Agent	Casualty	8/15/2000	4/22/2002
* 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	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	8/15/2000	4/22/2002
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - General Lines	5/9/1997	8/15/2000
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	8/15/2000	4/22/2002
Inactive	Falls Lake National Insurance Company	301796	Agent - General Lines	4/12/1996	4/24/2000
Inactive	Globe American Casualty Company	301033	Agent - General Lines	10/25/1995	3/31/1998
Inactive	Grain Dealers Mutual Insurance Company	300867	Agent - General Lines	11/18/1994	3/31/1998
Inactive	Hanover American Insurance Company (The)	300447	Agent - General Lines	5/1/1995	3/31/1999
Inactive	Hanover Insurance Company (The)	300508	Agent - General Lines	4/29/1994	7/28/1997
Inactive	Infinity Casualty Insurance Company	301280	Agent - General Lines	9/13/1994	4/24/2000
Inactive	Infinity Insurance Company	300416	Agent - General Lines	9/19/1995	8/12/1996
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	3/15/1994	12/27/1996
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	12/27/1996	3/31/1997
Inactive	Kentucky National Insurance Company	301625	Agent - General Lines	3/10/1995	5/1/1996
Inactive	Massachusetts Bay Insurance Company	300898	Agent - Casualty	8/15/2000	4/22/2002
Inactive	Massachusetts Bay Insurance Company	300898	Agent - General Lines	6/6/1994	8/15/2000
Inactive	Massachusetts Bay Insurance Company	300898	Agent - Property	8/15/2000	4/22/2002
Inactive	Ohio State Life Insurance Company (The)	300865	Agent - Health	8/24/1994	9/3/1996
Inactive	Ohio State Life Insurance Company (The)	300865	Agent - Life	8/24/1994	9/3/1996
Inactive	Permanent General Assurance Corporation	300883	Agent - General Lines	2/18/1997	3/31/2000
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	8/15/2000	4/22/2002
Inactive	The Phoenix Insurance Company	301502	Agent - General Lines	3/27/1997	8/15/2000
Inactive	The Phoenix Insurance Company	301502	Agent - Property	8/15/2000	4/22/2002
Inactive	TravCo Insurance Company	301828	Agent - Casualty	8/15/2000	4/22/2002
Inactive	TravCo Insurance Company	301828	Agent - General Lines	3/27/1997	8/15/2000
Inactive	TravCo Insurance Company	301828	Agent - Property	8/15/2000	4/22/2002
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	8/15/2000	4/22/2002
Inactive	Travelers Indemnity Company (The)	301855	Agent - General Lines	5/9/1997	8/15/2000
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	8/15/2000	4/22/2002
Inactive	USG Annuity & Life Company	300457	Agent - Life	7/25/1994	1/16/2001
Inactive	United American Insurance Company	300910	Agent - Life	12/27/1996	3/31/1997
Inactive	Windhaven National Insurance Company	300094	Agent - General Lines	9/13/1994	4/24/2000

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Polston, Billy Dale	330819	Agent - General Lines	11/14/1996	8/15/2000
Inactive	Polston, Billy Dale	330819	Agent - Health	4/29/1994	11/14/1996
Inactive	Polston, Billy Dale	330819	Agent - Life	11/14/1996	1/16/2001