DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Kentucky Home Bank	DOIID	400498	NAIC NPN	7222469

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Credit Life & Health	6/17/1997	8/7/2000
Inactive	Resident	Agent	Life	11/10/2003	12/20/2016
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	3/31/2017
Inactive	Resident	Agent	Health	11/10/2003	12/20/2016
* 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	Citizens Security Life Insurance Company	301257	Agent - Limited Line Credit	7/3/2001	12/18/2003
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Health	6/14/2007	2/26/2016
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	6/14/2007	2/26/2016
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	6/14/2007	2/17/2016
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Credit Life & Health	11/24/1998	8/7/2000
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Health	1/1/2005	6/10/2016
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Life	1/1/2005	6/10/2016
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	8/7/2000	6/10/2016
Inactive	National Guardian Life Insurance Company	300596	Agent - Credit Life & Health	6/17/1997	12/1/1998
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	1/9/2012	3/31/2017

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Clifton, Gary F	341757	Agent - Credit Life & Health	6/17/1997	8/7/2000
Inactive	Clifton, Gary F	341757	Agent - Limited Line Credit	12/3/2011	4/30/2016
Inactive	Green, Phillip Stephen	374414	Agent - Limited Line Credit	1/14/2005	1/31/2010
Inactive	Jennings, Troy Dillon	387574	Agent - Life	1/14/2005	9/23/2009
Inactive	Jennings, Troy Dillon	387574	Agent - Limited Line Credit	12/3/2011	3/31/2017
Inactive	Maddox, William George	309611	Agent - Health	11/10/2003	10/1/2010
Inactive	Maddox, William George	309611	Agent - Life	12/16/2011	10/1/2016
Inactive	Maddox, William George	309611	Agent - Limited Line Credit	10/3/2003	9/30/2016
Inactive	Monin, Paul Ballard	367287	Agent - Limited Line Credit	1/14/2005	2/5/2007
Inactive	Nichter, Patricia E	367413	Agent - Health	11/10/2003	12/20/2016
Inactive	Nichter, Patricia E	367413	Agent - Life	11/10/2003	12/20/2016
Inactive	Nichter, Patricia E	367413	Agent - Limited Line Credit	10/3/2003	5/9/2016
Inactive	Riney, Teresa W	303511	Agent - Limited Line Credit	10/3/2003	1/31/2009