DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Independence Bank of Kentucky	DOIID	399391	NAIC NPN	7221611

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Credit Life & Health	7/6/1994	8/7/2000
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	6/1/2018
* 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	Cincinnati Life Insurance Company (The)	300601	Agent - Limited Line Credit	3/1/2002	12/5/2005
Inactive	National Guardian Life Insurance Company	300596	Agent - Credit Life & Health	7/6/1994	3/31/1999
Inactive	Southern Financial Life Insurance Company	300664	Agent - Credit Life & Health	9/16/1998	8/7/2000
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	8/7/2000	6/1/2018

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bobo, Shirley A	336572	Agent - Credit Life & Health	7/6/1994	8/7/2000
Inactive	Bobo, Shirley A	336572	Agent - Limited Line Credit	2/23/2004	3/31/2006
Inactive	Brown, Carroll F	513948	Agent - Limited Line Credit	2/23/2004	5/16/2006
Inactive	Coomes, Patsy Ann	514806	Agent - Limited Line Credit	2/23/2004	8/21/2006
Inactive	Embry, Barry S	343196	Agent - Limited Line Credit	2/23/2004	12/31/2012
Inactive	Embry, Rick A	333010	Agent - Limited Line Credit	6/30/2003	6/30/2017
Denied	Fitch, Robert R	344538	Agent - Limited Line Credit
Inactive	Hawkins, Herman	513951	Agent - Limited Line Credit	2/23/2004	2/28/2006
Inactive	Ramsey, Karen T	369881	Agent - Limited Line Credit	3/8/2005	10/31/2012
Inactive	Reid, Charles Albert	335272	Agent - Credit Life & Health	10/15/1981	8/7/2000
Inactive	Reid, Charles Albert	335272	Agent - Limited Line Credit	8/7/2000	3/21/2003
Inactive	Reid, Christopher Charles	373063	Agent - Credit Life & Health	7/6/1994	9/13/1996
Inactive	Roark, Kevin L.	514804	Agent - Limited Line Credit	2/23/2004	4/30/2008
Inactive	Roark, Terry Lewis	376961	Agent - Limited Line Credit	2/23/2004	12/31/2005
Inactive	Sawyer, Brent Allin	514810	Agent - Limited Line Credit	2/23/2004	8/31/2009
Inactive	Smith, Maurice Montrell	514812	Agent - Limited Line Credit	2/23/2004	1/29/2007
Inactive	Tuggle, Terry Leon	348191	Agent - Limited Line Credit	2/23/2004	3/31/2018
Inactive	Wilkerson, Tiffany Kristen	515742	Agent - Limited Line Credit	2/23/2004	7/1/2008
Inactive	Wood, Ralph Douglas	514803	Agent - Limited Line Credit	2/23/2004	10/31/2005