DEPARTMENT OF INSURANCE

Affiliations

Name	Bluegrass Brokerage Center	DOIID	400389	NAIC NPN	7222372

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Mortgage Redemption	5/16/1995	3/31/1997
Inactive	Resident	Agent	Health Maintenance Organization	11/9/1993	3/1/2001
Inactive	Resident	Agent	Life	1/23/1985	5/31/2003
Inactive	Resident	Agent	Health	1/23/1985	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	Allianz Life Insurance Company of North America	301791	Agent - Health	9/8/1998	5/31/2003
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	9/8/1998	5/31/2003
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	7/2/1993	3/31/1997
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	7/2/1993	3/31/1997
Inactive	American General Life Insurance Company	301585	Agent - Health	7/14/1994	5/31/2003
Inactive	American General Life Insurance Company	301585	Agent - Life	7/14/1994	5/31/2003
Inactive	American National Insurance Company	301861	Agent - Health	7/1/1992	5/31/2003
Inactive	American National Insurance Company	301861	Agent - Life	7/1/1992	5/31/2003
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	6/27/2001	5/31/2003
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	6/27/2001	5/31/2003
Inactive	Brighthouse Life Insurance Company	301829	Agent - Health	6/30/1992	5/31/2003
Inactive	Brighthouse Life Insurance Company	301829	Agent - Life	6/30/1992	5/31/2003
Inactive	Centennial Life Insurance Company (The)	301561	Agent - Health	12/14/1995	3/31/1997
Inactive	Centennial Life Insurance Company (The)	301561	Agent - Life	12/14/1995	3/31/1997
Inactive	Centre Life Insurance Company	300341	Agent - Health	7/1/1996	3/31/1999
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	12/31/1991	3/31/1997
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	12/31/1991	3/31/1997
Inactive	Cigna National Health Insurance Company	300235	Agent - Health	3/6/1991	3/31/1997
Inactive	Cigna National Health Insurance Company	300235	Agent - Life	3/6/1991	3/31/1997
Inactive	Clover Insurance Company	301587	Agent - Life	9/12/1995	12/31/1998
Inactive	Conseco Medical Insurance Company	300719	Agent - Health	3/2/2001	1/2/2002
Inactive	Conseco Medical Insurance Company	300719	Agent - Life	3/2/2001	1/2/2002
Inactive	Crown Life Insurance Company	300151	Agent - Mortgage Redemption	5/16/1995	3/31/1997
Inactive	First Colony Life Insurance Company	301179	Agent - Life	11/22/1993	5/31/2003
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	8/23/1993	5/31/2003
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	8/23/1993	5/31/2003
Inactive	HM Life Insurance Company	301408	Agent - Health	6/17/1992	5/31/2003
Inactive	HM Life Insurance Company	301408	Agent - Life	6/17/1992	5/31/2003
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	6/21/1994	5/31/2003
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	6/21/1994	5/31/2003
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/1/2001	5/31/2003
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	11/9/1993	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	4/4/1994	3/2/1999
Inactive	Humana Insurance Company	300118	Agent - Health	1/24/1996	12/30/1998
Inactive	Humana Insurance Company	301104	Agent - Life	4/4/1994	3/2/1999
Inactive	Humana Insurance Company	300118	Agent - Life	1/24/1996	12/30/1998
Inactive	Investors Life Insurance Company of Indiana	301657	Agent - Health	1/19/1993	3/31/1997
Inactive	Investors Life Insurance Company of Indiana	301657	Agent - Life	1/19/1993	3/31/1997
Inactive	John Alden Life Insurance Company	300573	Agent - Health	11/19/1992	6/4/1999
Inactive	John Alden Life Insurance Company	300573	Agent - Life	11/19/1992	6/4/1999
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	4/7/1995	3/31/1997
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	4/7/1995	3/31/1997
Inactive	Midland National Life Insurance Company	300923	Agent - Health	11/22/1993	5/20/1996
Inactive	Midland National Life Insurance Company	300923	Agent - Life	11/22/1993	5/20/1996
Inactive	Pan-American Assurance Company	301533	Agent - Health	6/18/1996	3/31/1997
Inactive	Pan-American Assurance Company	301533	Agent - Life	6/18/1996	3/31/1997
Inactive	Pan-American Life Insurance Company	301530	Agent - Health	6/18/1996	5/31/2003
Inactive	Pan-American Life Insurance Company	301530	Agent - Life	6/18/1996	5/31/2003
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	6/1/1998	5/31/2003
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	6/1/1998	5/31/2003
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Health	9/12/1994	5/31/2003
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Life	9/12/1994	5/31/2003
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Health	8/27/1992	5/31/2003
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Life	8/27/1992	5/31/2003
Inactive	Time Insurance Company	300683	Agent - Health	1/23/1985	4/4/1997
Inactive	Time Insurance Company	300683	Agent - Life	1/23/1985	4/4/1997
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	9/9/1996	3/31/1997
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	9/9/1996	3/31/1997
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Health	8/13/1993	5/31/2003
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	8/13/1993	5/31/2003
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	3/17/1997	5/31/2003
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	3/17/1997	5/31/2003
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	11/6/1996	3/31/1997
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	11/6/1996	3/31/1997
Inactive	Washington National Insurance Company	300587	Agent - Health	7/14/1992	3/31/1997
Inactive	Washington National Insurance Company	300587	Agent - Life	7/14/1992	3/31/1997
Inactive		300277	Agent - Health	2/21/2000	5/31/2003
Inactive		300277	Agent - Life	2/21/2000	5/31/2003

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Clark, Robert B	342753	Agent - Health	6/10/1997	5/31/2003
Inactive	Clark, Robert B	342753	Agent - Life	6/10/1997	5/31/2003
Inactive	Cordier, John Thomas	322839	Agent - Health	6/10/1997	6/30/2002
Inactive	Cordier, John Thomas	322839	Agent - Life	6/10/1997	6/30/2002
Inactive	Creech, James Dale	348090	Agent - Health	3/31/1994	5/31/2003
Inactive	Creech, James Dale	348090	Agent - Life	3/31/1994	5/31/2003
Inactive	Johnson, Earley M	393206	Agent - Health	1/24/1996	7/1/1998
Inactive	Johnson, Earley M	393206	Agent - Life	1/24/1996	7/1/1998
Inactive	McDonald, James Claude	323365	Agent - Health	6/10/1997	5/31/2003
Inactive	McDonald, James Claude	323365	Agent - Life	6/10/1997	5/31/2003
Inactive	Spears, Timothy Alan	336107	Agent - Health	1/24/1996	12/1/2000
Inactive	Spears, Timothy Alan	336107	Agent - Health Maintenance Organization	11/9/1993	1/24/1996
Inactive	Spears, Timothy Alan	336107	Agent - Life	1/24/1996	12/1/2000
Inactive	Stafford, Lloyd Munday	331709	Agent - Health	3/31/1994	5/31/2003
Inactive	Stafford, Lloyd Munday	331709	Agent - Life	3/31/1994	5/31/2003
Inactive	Stingle, Gary Lee	334958	Agent - Health	11/15/1984	11/12/1999
Inactive	Stingle, Gary Lee	334958	Agent - Life	11/15/1984	11/12/1999
Inactive	West Kentucky Group Benefits	401049	Agent - Health	12/20/1991	12/31/2001
Inactive	West Kentucky Group Benefits	401049	Agent - Life	12/20/1991	12/31/2001