DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Owensboro Ford Center, Inc. DBA : Champion Ford- Linc- Merc	DOIID	400436	NAIC NPN	7222412

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Limited Line Credit	7/30/2007	3/31/2019
Inactive	Resident	Agent	Credit Life & Health	5/25/1994	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	Bankers Life Insurance Company	301784	Agent - Credit Life & Health	4/11/1997	4/23/1997
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Credit Life & Health	4/23/1997	8/7/2000
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	8/1/2007	7/27/2017
Inactive	Southern Financial Life Insurance Company	300664	Agent - Credit Life & Health	1/4/2000	8/7/2000
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	8/7/2000	5/31/2004
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Credit Life & Health	5/25/1994	4/11/1997
Inactive	Universal Underwriters Life Insurance Company	301200	Agent - Limited Line Credit	9/9/2005	10/6/2006

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Brubaker, Bruce	362030	Agent - Credit Life & Health	1/4/2000	8/7/2000
Inactive	Brubaker, Bruce	362030	Agent - Limited Line Credit	8/26/2005	4/2/2007
Inactive	Brubaker, Bruce E.	392775	Agent - Credit Life & Health	1/4/2000	8/7/2000
Inactive	Brubaker, Bruce E.	392775	Agent - Limited Line Credit	7/30/2007	7/27/2017
Inactive	Brubaker, Tyler Chalmer	358977	Agent - Credit Life & Health	1/4/2000	8/7/2000
Inactive	Brubaker, Tyler Chalmer	358977	Agent - Limited Line Credit	7/30/2007	3/31/2019
Inactive	Cecil, Brian K	353274	Agent - Credit Life & Health	1/4/2000	8/7/2000
Inactive	Cecil, Brian K	353274	Agent - Limited Line Credit	8/7/2000	5/31/2004
Inactive	Chancellor, Linda R	350177	Agent - Credit Life & Health	1/4/2000	8/7/2000
Inactive	Chancellor, Linda R	350177	Agent - Limited Line Credit	8/31/2010	7/31/2012
Denied	Frizzell, Adam Lee	622297	Agent - Limited Line Credit
Inactive	Raley, Thomas P	333918	Agent - Credit Life & Health	4/11/1997	5/16/1997
Inactive	Rider, James John	334048	Agent - Credit Life & Health	5/25/1994	1/21/1997
Inactive	Taber, Ronald J	384487	Agent - Credit Life & Health	1/4/2000	8/7/2000
Inactive	Taber, Ronald J	384487	Agent - Limited Line Credit	8/24/2010	7/27/2017