DEPARTMENT OF INSURANCE

Affiliations

Name	Kentucky American Insurance Group LLC	DOIID	399916	NAIC NPN	7222048

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Health	8/16/1999	3/31/2025
Active	Resident	Agent	Life	8/16/1999	3/31/2025
* 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	01/15/2025	03/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	4/10/2000	8/16/2004
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	4/10/2000	8/16/2004
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Health	2/3/2004	2/27/2009
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Life	2/3/2004	2/27/2009
Inactive	Citizens Security Life Insurance Company	301257	Agent - Health	10/8/2003	8/16/2004
Inactive	Citizens Security Life Insurance Company	301257	Agent - Life	10/8/2003	8/16/2004
Active	Forethought Life Insurance Company	301407	Agent - Life	12/11/2008
Active	Illinois Mutual Life Insurance Company	301479	Agent - Health	5/8/2000
Active	Illinois Mutual Life Insurance Company	301479	Agent - Life	5/8/2000
Inactive	Inter-State Assurance Company	301556	Agent - Life	12/18/2000	4/25/2002
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Health	8/16/1999	2/23/2016
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	8/16/1999	2/23/2016
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	9/18/2000	4/2/2007
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	9/18/2000	4/2/2007
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	9/12/2023
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	9/12/2023
Inactive	Midland National Life Insurance Company	300923	Agent - Health	9/29/2008	10/1/2015
Inactive	Midland National Life Insurance Company	300923	Agent - Life	9/29/2008	1/16/2012
Inactive	North American Company for Life and Health Insurance	300291	Agent - Health	10/18/2007	4/3/2021
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	10/18/2007	6/11/2021
Inactive	Protective Life Insurance Company	300638	Agent - Health	12/13/1999	3/20/2006
Inactive	Protective Life Insurance Company	300638	Agent - Life	12/13/1999	3/20/2006
Inactive	West Coast Life Insurance Company	301607	Agent - Life	12/4/2001	9/8/2009
Inactive	Wilco Life Insurance Company	300122	Agent - Life	1/26/2000	4/23/2001

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	6/8/2000	5/10/2001
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	6/8/2000	5/10/2001
Inactive	Stephens, Don W	334412	Agent - Health	7/19/2000	2/26/2003
Inactive	Stephens, Don W	334412	Agent - Life	7/19/2000	2/26/2003
Inactive	Stutzenberger, William John	314045	Agent - Health	7/19/2000	2/26/2003
Inactive	Stutzenberger, William John	314045	Agent - Life	7/19/2000	2/26/2003
Inactive	Wooley, Billy Gene	375597	Agent - Health	7/19/2000	7/1/2004
Inactive	Wooley, Billy Gene	375597	Agent - Life	7/19/2000	7/1/2004
Active	Wooley, Mark Gene	311931	Agent - Health	8/16/1999
Active	Wooley, Mark Gene	311931	Agent - Life	8/16/1999