DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Citizens Bank of Jessamine County	DOIID	398635	NAIC NPN	7221068

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Denied	Resident	Agent	Life
Denied	Resident	Agent	Health
Inactive	Resident	Agent	Mortgage Redemption	8/28/1997	8/7/2000
Inactive	Resident	Agent	Credit Life & Health	8/28/1997	8/7/2000
Inactive	Resident	Agent	Limited Line Credit	12/8/2006	8/12/2009
* 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	American General Assurance Company	300586	Agent - Limited Line Credit	3/21/2007	8/12/2009
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Credit Life & Health	8/28/1997	8/7/2000
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	8/7/2000	3/31/2006
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Mortgage Redemption	8/28/1997	8/7/2000
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	1/8/2007	8/12/2009
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Limited Line Credit	2/26/2008	8/12/2009

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ball, Jeffrey DeLane	511481	Agent - Limited Line Credit	12/8/2006	5/31/2008
Inactive	Brown, Ben F	322838	Agent - Limited Line Credit	12/8/2006	8/12/2009
Inactive	Collins, Richard Alan	351989	Agent - Limited Line Credit	12/8/2006	8/12/2009
Inactive	Floyd, Kaye R	379839	Agent - Limited Line Credit	12/8/2006	8/12/2009
Inactive	Harris, Mark A.	504207	Agent - Limited Line Credit	12/8/2006	8/12/2009
Inactive	Kozlowski, Wendy Lee	645875	Agent - Limited Line Credit	10/29/2008	5/31/2009
Inactive	Lawson, Brenda Sue	341863	Agent - Limited Line Credit	12/8/2006	8/12/2009
Inactive	Teater, Jeremy Dale	606966	Agent - Limited Line Credit	12/8/2006	3/31/2008