DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Farmers State Bank	DOIID	399392	NAIC NPN	7221612

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Limited Line Credit	3/10/2025		3/31/2027
Inactive	Resident	Agent	Mortgage Redemption	11/27/1995	8/7/2000
Inactive	Resident	Agent	Credit Life & Health	1/10/1995	8/7/2000
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2027	03/31/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Limited Line Credit	8/7/2000	11/4/2008
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Mortgage Redemption	11/27/1995	8/7/2000
Inactive	Franklin Life Insurance Company (The)	300779	Agent - Credit Life & Health	1/10/1995	3/29/1996
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	12/10/2004	3/31/2023
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Credit Life & Health	11/24/1998	8/7/2000
Active	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	3/20/2025
Inactive	NGL Insurance Company	300596	Agent - Credit Life & Health	1/12/1996	3/31/1999

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Burgess, Larry Wayne	347609	Agent - Limited Line Credit	1/23/2007	8/31/2015
Active	Burns, Mindy	1232922	Agent - Limited Line Credit	3/10/2025
Inactive	Marshall, Angela B	355539	Agent - Credit Life & Health	1/10/1995	8/7/2000
Inactive	Marshall, Angela B	355539	Agent - Limited Line Credit	8/7/2000	10/31/2021
Inactive	Moore, Judy Lee	379759	Agent - Credit Life & Health	1/10/1995	8/7/2000
Inactive	Moore, Judy Lee	379759	Agent - Limited Line Credit	1/26/2022	3/31/2023