DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Citizens Bank of Kentucky	DOIID	399411	NAIC NPN	7221631

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	General Lines	6/5/1997	10/2/1998
Inactive	Resident	Agent	Credit Life & Health	6/15/1994	8/7/2000
Inactive	Resident	Agent	Mortgage Redemption	10/18/1994	8/7/2000
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	5/31/2003
* 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	Indiana Insurance Company	301909	Agent - General Lines	6/5/1997	10/2/1998
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Credit Life & Health	11/24/1998	8/7/2000
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	8/7/2000	5/31/2003
Inactive	Liberty Life Insurance Company	301542	Agent - Limited Line Credit	8/7/2000	5/31/2003
Inactive	Liberty Life Insurance Company	301542	Agent - Mortgage Redemption	10/18/1994	8/7/2000
Inactive	National Guardian Life Insurance Company	300596	Agent - Credit Life & Health	6/15/1994	12/1/1998

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Alexander, Mary D	335248	Agent - Credit Life & Health	2/6/1995	8/7/2000
Inactive	Alexander, Mary D	335248	Agent - Limited Line Credit	8/7/2000	7/17/2002
Inactive	Durling, Deborah Dukes	320257	Agent - General Lines	6/5/1997	10/2/1998
Inactive	Hite, Joseph Michael	329441	Agent - Credit Life & Health	6/15/1994	1/8/1998
Inactive	Jackson, William Edward	369965	Agent - Credit Life & Health	4/11/1985	10/30/1997
Inactive	McHargue, Terri J	326663	Agent - Credit Life & Health	5/3/1995	8/7/2000
Inactive	McHargue, Terri J	326663	Agent - Limited Line Credit	8/7/2000	5/31/2003
Inactive	McHargue, Terri J	326663	Agent - Mortgage Redemption	5/3/1995	8/7/2000
Inactive	Moore, Jane Marie	383351	Agent - Credit Life & Health	6/15/1994	8/7/2000
Inactive	Moore, Jane Marie	383351	Agent - Limited Line Credit	8/7/2000	5/31/2003
Inactive	Paris, Gwen G.	382444	Agent - Credit Life & Health	6/15/1994	8/7/2000
Inactive	Paris, Gwen G.	382444	Agent - Limited Line Credit	8/7/2000	5/31/2003
Inactive	Stoll, George Rives	350363	Agent - Credit Life & Health	4/11/1985	12/1/2000