DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Corporate Insurance Services Inc.	DOIID	398904	NAIC NPN	7221257

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	8/6/1991	3/31/1997
Inactive	Resident	Agent	Life	8/6/1991	3/31/1997
Inactive	Resident	Agent	General Lines	11/23/1994	10/15/1996
* 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 Life Insurance Company of Delaware	301057	Agent - Health	1/7/1992	10/15/1996
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	1/7/1992	10/15/1996
Inactive	Credit General Insurance Company	301724	Agent - General Lines	3/27/1995	10/15/1996
Inactive	Humana Insurance Company	301104	Agent - Health	8/6/1991	10/15/1996
Inactive	Humana Insurance Company	301104	Agent - Life	8/6/1991	10/15/1996
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	12/6/1991	10/15/1996
Inactive	PAFCO General Insurance Company	301645	Agent - General Lines	11/23/1994	10/15/1996
Inactive	Time Insurance Company	300683	Agent - Health	7/11/1994	3/31/1997
Inactive	Time Insurance Company	300683	Agent - Life	7/11/1994	3/31/1997
Inactive	Western Surety Company	300283	Agent - General Lines	1/12/1995	3/31/1996

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ashley, Clarence Lee	381987	Agent - Health	2/1/1993	10/15/1996
Inactive	Ashley, Clarence Lee	381987	Agent - Life	2/1/1993	10/15/1996
Inactive	Huff, Wilbur Anthony	346329	Agent - General Lines	11/23/1994	9/20/1996
Inactive	Huff, Wilbur Anthony	346329	Agent - Health	9/20/1996	10/15/1996
Inactive	Huff, Wilbur Anthony	346329	Agent - Life	9/20/1996	10/15/1996
Inactive	West Kentucky Group Benefits	401049	Agent - Health	12/23/1991	10/15/1996
Inactive	West Kentucky Group Benefits	401049	Agent - Life	12/23/1991	10/15/1996