PUBLIC PROTECTION
CABINET
PPC Agencies
PPC Services
Open Records
Leadership
Internships
PPC News
DEPARTMENT OF INSURANCE
Affiliations
Name
Southern Brokers Inc.
DOIID
399821
NAIC NPN
7221962
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Resident
Agent
Health
9/14/1989
5/31/2003
Inactive
Resident
Agent
Life
9/14/1989
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
AF&L Insurance Company
301582
Agent - Health
6/20/1997
12/31/1998
Inactive
Centennial Life Insurance Company (The)
301561
Agent - Health
3/17/1993
6/19/1998
Inactive
Centennial Life Insurance Company (The)
301561
Agent - Life
3/17/1993
6/19/1998
Inactive
Conseco Health Insurance Company
301725
Agent - Health
9/6/2000
5/31/2003
Inactive
Conseco Health Insurance Company
301725
Agent - Life
9/6/2000
5/31/2003
Inactive
First National Life Insurance Company
300833
Agent - Health
3/23/1994
2/14/1997
Inactive
First National Life Insurance Company
300833
Agent - Life
3/23/1994
2/14/1997
Inactive
Great Fidelity Life Insurance Company
301208
Agent - Health
4/9/1991
3/31/1997
Inactive
Great Fidelity Life Insurance Company
301208
Agent - Life
4/9/1991
3/31/1997
Inactive
Guarantee Trust Life Insurance Company
301043
Agent - Health
10/30/1991
12/29/1998
Inactive
Guarantee Trust Life Insurance Company
301043
Agent - Life
10/30/1991
12/29/1998
Inactive
Investors Heritage Life Insurance Company
300363
Agent - Health
9/14/1989
5/31/2003
Inactive
Investors Heritage Life Insurance Company
300363
Agent - Life
9/14/1989
5/31/2003
Inactive
Penn Treaty Network America Insurance Company
301297
Agent - Health
11/21/1990
3/31/1997
Inactive
Penn Treaty Network America Insurance Company
301297
Agent - Life
11/21/1990
3/31/1997
Inactive
Pioneer Life Insurance Company
300110
Agent - Health
11/30/1994
5/31/2003
Inactive
Pioneer Life Insurance Company
300110
Agent - Life
11/30/1994
5/31/2003
Inactive
Provident Indemnity Life Insurance Company
301218
Agent - Health
4/23/1993
3/31/1997
Inactive
Provident Indemnity Life Insurance Company
301218
Agent - Life
4/23/1993
3/31/1997
Inactive
Reassure America Life Insurance Company
301902
Agent - Health
2/7/1995
1/2/2003
Inactive
Reassure America Life Insurance Company
301902
Agent - Life
2/7/1995
1/2/2003
Inactive
Settlers Life Insurance Company
300189
Agent - Health
6/23/1993
3/31/1997
Inactive
Settlers Life Insurance Company
300189
Agent - Life
6/23/1993
3/31/1997
Inactive
USG Annuity & Life Company
300457
Agent - Life
5/20/1993
1/4/1996
Inactive
Union Bankers Insurance Company
301769
Agent - Health
12/30/1992
3/31/1997
Inactive
Union Bankers Insurance Company
301769
Agent - Life
12/30/1992
3/31/1997
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Adkins, Terry Wayne
332170
Agent - Health
2/14/1994
5/31/2003
Inactive
Adkins, Terry Wayne
332170
Agent - Life
2/14/1994
5/31/2003
Inactive
Ashley, Clarence Lee
381987
Agent - Health
9/3/1993
5/31/2003
Inactive
Ashley, Clarence Lee
381987
Agent - Life
9/3/1993
5/31/2003
Inactive
Ayres, Winona Gail
368683
Agent - Health
2/7/1992
5/31/2003
Inactive
Ayres, Winona Gail
368683
Agent - Life
2/7/1992
5/31/2003
Inactive
Ball, Gary W
348963
Agent - Health
8/15/1989
5/31/2003
Inactive
Barton, Gwyn G
317991
Agent - Health
7/6/1990
7/1/1996
Inactive
Barton, Gwyn G
317991
Agent - Life
7/6/1990
7/1/1996
Inactive
Barton, Jack V
319023
Agent - Health
11/18/1992
1/16/2002
Inactive
Barton, Jack V
319023
Agent - Life
11/18/1992
7/1/2002
Inactive
Blackburn, Elmer Timothy
375670
Agent - Health
8/2/1993
5/31/2003
Inactive
Blackburn, Elmer Timothy
375670
Agent - Life
8/2/1993
5/31/2003
Inactive
Crowe, Charles Marvin
373476
Agent - Health
8/18/1989
5/31/2003
Inactive
Crowe, Charles Marvin
373476
Agent - Life
8/18/1989
5/31/2003
Inactive
Davis, Diane M
320444
Agent - Health
1/22/1990
5/31/2003
Inactive
Davis, Diane M
320444
Agent - Life
1/22/1990
5/31/2003
Inactive
Davis, William Curtis
364748
Agent - Health
11/9/1993
5/31/2003
Inactive
Davis, William Curtis
364748
Agent - Life
11/9/1993
5/31/2003
Inactive
Devine, Robert T
345025
Agent - Health
3/31/1995
12/1/2000
Inactive
Devine, Robert T
345025
Agent - Life
3/31/1995
12/1/2000
Inactive
Feezor, Rex Alan
384966
Agent - Health
6/16/1989
5/31/2003
Inactive
Feezor, Rex Alan
384966
Agent - Life
6/16/1989
5/31/2003
Inactive
Gowens, Martha Jean
342654
Agent - Health
8/12/1991
7/1/2002
Inactive
Gowens, Martha Jean
342654
Agent - Life
8/12/1991
7/1/2002
Inactive
Gray, Jefferson Ladon
344982
Agent - Health
6/30/1989
10/10/1996
Inactive
Gray, Jefferson Ladon
344982
Agent - Life
6/30/1989
10/10/1996
Inactive
Jackson, Eddie Lewis
312314
Agent - Health
2/13/1990
5/31/2003
Inactive
Jackson, Eddie Lewis
312314
Agent - Life
2/13/1990
5/31/2003
Inactive
James, Harry Scott
328042
Agent - Health
6/5/1989
12/1/2000
Inactive
James, Harry Scott
328042
Agent - Life
6/5/1989
12/1/2000
Inactive
Johnson, Lynn Robert
356300
Agent - Life
11/27/1989
5/31/2003
Inactive
Laake, Linda
364646
Agent - Health
8/23/1989
12/17/2002
Inactive
Laake, Linda
364646
Agent - Life
8/23/1989
5/31/2003
Inactive
Lemily, Bernard Reynolds
361182
Agent - Health
10/19/1989
5/31/2003
Inactive
Lemily, Bernard Reynolds
361182
Agent - Life
10/19/1989
5/31/2003
Inactive
Lindsey, Gene Clayton
307059
Agent - Health
5/6/1991
7/30/1999
Inactive
Lindsey, Gene Clayton
307059
Agent - Life
5/6/1991
7/30/1999
Inactive
McRoberts, Stephen Dale
385907
Agent - Health
6/12/1989
3/31/1997
Inactive
McRoberts, Stephen Dale
385907
Agent - Life
6/12/1989
3/31/1997
Inactive
Myers, Merrill James
381979
Agent - Health
4/1/1991
5/31/2003
Inactive
Myers, Merrill James
381979
Agent - Life
4/1/1991
5/31/2003
Inactive
Nunn, Joe Milburn
390947
Agent - Health
2/20/1990
12/30/1996
Inactive
Nunn, Joe Milburn
390947
Agent - Life
2/20/1990
12/30/1996
Inactive
Page, George E
391709
Agent - Health
9/22/1989
5/31/2003
Inactive
Page, George E
391709
Agent - Life
9/22/1989
5/31/2003
Inactive
Parish, James Wesley
304450
Agent - Health
4/3/1991
5/31/2003
Inactive
Parish, James Wesley
304450
Agent - Life
4/3/1991
5/31/2003
Inactive
Pinkerton, Edwina C
368024
Agent - Health
3/5/1996
9/18/1997
Inactive
Pinkerton, Edwina C
368024
Agent - Life
3/5/1996
9/18/1997
Inactive
Presson, David S
357243
Agent - Health
4/14/1989
12/1/2000
Inactive
Presson, David S
357243
Agent - Life
4/14/1989
12/1/2000
Inactive
Quinnelly, Thomas Edgar
379359
Agent - Health
12/21/1989
4/18/1997
Inactive
Riley, J C
378340
Agent - Health
2/6/1990
12/1/2000
Inactive
Riley, J C
378340
Agent - Life
2/6/1990
12/1/2000
Denied
Roberts, Kirby Clarence
359316
Agent - Health
Denied
Roberts, Kirby Clarence
359316
Agent - Life
Inactive
Russell, Valerie Morrow
345085
Agent - Health
3/17/1992
5/31/2003
Inactive
Russell, Valerie Morrow
345085
Agent - Life
3/17/1992
5/31/2003
Inactive
Sadler, James Garner
347658
Agent - Health
5/4/1989
5/31/2003
Inactive
Sadler, James Garner
347658
Agent - Life
5/4/1989
5/31/2003
Inactive
Sewell, David Carlisle
333632
Agent - Health
10/4/1989
5/31/2003
Inactive
Sewell, David Carlisle
333632
Agent - Life
10/4/1989
5/31/2003
Inactive
Singleton, Cindy Jo
384720
Agent - Health
3/6/1995
7/1/1996
Inactive
Singleton, Michael E
309539
Agent - Health
1/12/1989
5/31/2003
Inactive
Singleton, Michael E
309539
Agent - Life
1/12/1989
5/31/2003
Inactive
Smith, Richard Henry
312519
Agent - Health
5/4/1989
5/31/2003
Inactive
Smith, Richard Henry
312519
Agent - Life
5/4/1989
5/31/2003
Inactive
Stevenson, James Thomas
344587
Agent - Health
3/13/1990
5/31/2003
Inactive
Stevenson, James Thomas
344587
Agent - Life
3/13/1990
5/31/2003
Inactive
Thomas, Michael Wayne
345810
Agent - Health
6/14/1990
5/11/1998
Inactive
Thomas, Michael Wayne
345810
Agent - Life
6/14/1990
5/11/1998
Inactive
Toll, Robert Lee
305311
Agent - Health
1/17/1990
7/25/1996
Inactive
Toll, Robert Lee
305311
Agent - Life
1/17/1990
7/25/1996
Inactive
Toll, Roy Lee
318027
Agent - Health
9/8/1994
5/31/2003
Inactive
Toll, Roy Lee
318027
Agent - Life
9/8/1994
5/31/2003
Inactive
Tucker, Brenda Lue
317573
Agent - Health
3/18/1991
7/1/2002
Inactive
Tucker, Brenda Lue
317573
Agent - Life
3/18/1991
7/1/2002
Inactive
Weikel, Gerald A
383799
Agent - Health
8/15/1989
5/31/2003
Inactive
Weikel, Gerald A
383799
Agent - Life
8/15/1989
5/31/2003
Inactive
Withrow, Bobby Joe
302263
Agent - Health
2/7/1992
5/31/2003
Inactive
Withrow, Bobby Joe
302263
Agent - Life
2/7/1992
5/31/2003
Inactive
Wright, David Wayne
359140
Agent - Health
2/20/1990
5/31/2003
Inactive
Wright, David Wayne
359140
Agent - Life
2/20/1990
5/31/2003
© Commonwealth of Kentucky. All rights reserved.