DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Creditors Insurance Service of Kentucky Inc.	DOIID	400490	NAIC NPN	7222461

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Casualty	8/15/2000	5/31/2004
Inactive	Resident	Agent	Property	8/15/2000	5/31/2004
Inactive	Resident	Agent	General Lines	6/19/1996	8/15/2000
* 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	American Modern Home Insurance Company	300791	Agent - Casualty	8/15/2000	5/31/2004
Inactive	American Modern Home Insurance Company	300791	Agent - General Lines	6/19/1996	8/15/2000
Inactive	American Modern Home Insurance Company	300791	Agent - Property	8/15/2000	5/31/2004
Inactive	Guaranty National Insurance Company	301419	Agent - Casualty	8/15/2000	5/31/2004
Inactive	Guaranty National Insurance Company	301419	Agent - General Lines	2/27/1997	8/15/2000
Inactive	Guaranty National Insurance Company	301419	Agent - Property	8/15/2000	5/31/2004

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Morris, Joseph Jerome	335281	Agent - Casualty	8/15/2000	5/31/2004
Inactive	Morris, Joseph Jerome	335281	Agent - General Lines	6/19/1996	8/15/2000
Inactive	Morris, Joseph Jerome	335281	Agent - Property	8/15/2000	5/31/2004