DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Lusk Funeral Home Inc.	DOIID	399467	NAIC NPN	7221677

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	4/11/1988	3/31/1997
* 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	4/11/1988	3/31/1997
Inactive	Occidental Life Insurance Company of North Carolina	301185	Agent - Life	10/4/1995	10/7/1996

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	McFarland, Gerald Thomas	392816	Agent - Life	11/4/1996	3/31/1997