DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Paul Miller Ford Inc. DBA : Paul Miller Premier, Paul Miller Isuzu, Paul Miller Mazda, Fortune Collision, Fortune Collision Centre, Fortune Collision/Paint Centre, Paul Miller Auto Outlet, Paul Miller Premier	DOIID	399417	NAIC NPN	7221636

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Limited Line Credit	5/23/2009	8/1/2011
Inactive	Resident	Agent	Credit Life & Health	3/1/1995	8/7/2000
* 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	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	11/14/2001	4/1/2007
Inactive	Protective Life Insurance Company	300638	Agent - Limited Line Credit	6/26/2009	8/1/2011
Inactive	Resource Life Insurance Company	300284	Agent - Credit Life & Health	10/6/1998	8/7/2000
Inactive	Resource Life Insurance Company	300284	Agent - Limited Line Credit	8/7/2000	11/14/2001
Inactive	Union Fidelity Life Insurance Company	301136	Agent - Credit Life & Health	3/1/1995	10/6/1998

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ballard, Lynn P	331436	Agent - Credit Life & Health	9/5/1995	10/6/1998
Inactive	Clevenger, James Brian	322907	Agent - Limited Line Credit	11/14/2001	8/31/2006
Inactive	Edmondson, Michael Sean	345024	Agent - Credit Life & Health	3/14/1995	10/6/1998
Inactive	Ferguson, Bradley Walters	581713	Agent - Limited Line Credit	1/8/2004	7/31/2005
Inactive	Hammons, Dennis A	539036	Agent - Limited Line Credit	11/14/2001	6/30/2006
Inactive	Hazzard, Richar Clark	666494	Agent - Limited Line Credit	6/26/2009	5/31/2011
Inactive	Keller, Jeffrey Brian	336085	Agent - Limited Line Credit	1/8/2004	1/31/2007
Inactive	Mullins, Robert C	334419	Agent - Credit Life & Health	3/1/1995	10/6/1998
Inactive	Peterson, George B	327586	Agent - Credit Life & Health	3/1/1995	2/13/1997
Inactive	Polly, Christopher D	654850	Agent - Limited Line Credit	9/10/2007	11/30/2008
Inactive	Pugh, Amy Paxton	346328	Agent - Credit Life & Health	10/6/1998	8/7/2000
Inactive	Pugh, Amy Paxton	346328	Agent - Limited Line Credit	8/7/2000	8/20/2001
Inactive	Reynolds, Robert Allen	369728	Agent - Credit Life & Health	3/1/1995	7/7/1997
Inactive	Smallwood, Stephen Richard	388099	Agent - Limited Line Credit	11/14/2001	2/17/2003