DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Pearson-Ratterman Brothers Funeral Home	DOIID	398927	NAIC NPN	7221274

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	6/8/1994	11/10/2009
* 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	Forethought Life Insurance Company	301407	Agent - Life	6/8/1994	7/1/2002
Inactive	Homesteaders Life Company	300836	Agent - Life	10/14/2008	11/10/2009

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Cook, Tracy Landers	541486	Agent - Life	2/27/2004	11/10/2009
Inactive	Potts, Andrew William	342267	Agent - Life	9/2/1997	7/1/2002

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	L D Pearson & Son Inc.	399404	Agent - Life	6/8/1994	12/31/2001
Inactive	Ratterman Brothers Inc.	400638	Agent - Life	6/8/1994	12/31/2001