DEPARTMENT OF INSURANCE

Affiliations

Name	United Citizens Bank & Trust Company	DOIID	398804	NAIC NPN	7221175

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	2/11/2025		3/31/2026
Active	Resident	Agent	Life	2/11/2025		3/31/2026
Denied	Resident	Agent	Limited Line Credit
Inactive	Resident	Agent	Credit Life & Health	9/13/1994	8/7/2000
* 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	First Alliance Insurance Company	301000	Agent - Limited Line Credit	8/7/2000	7/25/2002
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Credit Life & Health	1/21/1999	8/7/2000
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	8/7/2000	3/31/2022
Inactive	Southern Financial Life Insurance Company	300664	Agent - Credit Life & Health	9/26/1998	1/21/1999
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Credit Life & Health	9/13/1994	9/22/1998

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Banta, Zachary Dean	681409	Agent - Limited Line Credit	5/8/2018	4/30/2019
Inactive	Brent, Jerry Logan	372992	Agent - Credit Life & Health	2/1/1994	1/21/1999
Inactive	Brent, Jerry Logan	372992	Agent - Limited Line Credit	1/11/2005	7/31/2009
Inactive	Burckle, William Paul	372558	Agent - Limited Line Credit	1/6/2004	1/31/2012
Inactive	Dunn, Cynthia L	368950	Agent - Credit Life & Health	1/21/1999	8/7/2000
Inactive	Dunn, Cynthia L	368950	Agent - Limited Line Credit	5/8/2018	6/30/2018
Inactive	Foster, David J	341412	Agent - Credit Life & Health	1/21/1999	8/7/2000
Inactive	Foster, David J	341412	Agent - Limited Line Credit	8/7/2000	2/17/2003
Inactive	Johnston, Dave Lee	354708	Agent - Limited Line Credit	1/6/2004	1/11/2005
Active	Kemper, Phillip Nathan	1280955	Agent - Health	2/11/2025
Active	Kemper, Phillip Nathan	1280955	Agent - Life	2/11/2025
Inactive	Long, David W	371316	Agent - Credit Life & Health	1/21/1999	8/7/2000
Inactive	Long, David W	371316	Agent - Limited Line Credit	5/11/2017	3/31/2019
Inactive	Perry, Keith M	323314	Agent - Credit Life & Health	1/21/1999	8/7/2000
Inactive	Perry, Keith M	323314	Agent - Limited Line Credit	8/7/2000	10/31/2011
Inactive	Pryor, Tammy Sue	356415	Agent - Credit Life & Health	1/21/1999	8/7/2000
Inactive	Pryor, Tammy Sue	356415	Agent - Limited Line Credit	8/7/2000	2/28/2022
Inactive	Stafford, Dallas Ray	325537	Agent - Credit Life & Health	1/21/1999	8/7/2000
Inactive	Stafford, Dallas Ray	325537	Agent - Limited Line Credit	8/7/2000	5/22/2008
Inactive	Townsend, Vicki B	344472	Agent - Credit Life & Health	1/21/1999	8/7/2000
Inactive	Townsend, Vicki B	344472	Agent - Limited Line Credit	8/7/2000	2/17/2003
Inactive	Traylor, Darryl	342694	Agent - Credit Life & Health	1/21/1999	8/7/2000
Inactive	Traylor, Darryl	342694	Agent - Limited Line Credit	8/7/2000	2/17/2003
Inactive	Whitaker, Patricia Ann	363868	Agent - Credit Life & Health	1/21/1999	8/7/2000
Inactive	Whitaker, Patricia Ann	363868	Agent - Limited Line Credit	8/7/2000	6/9/2010