DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	First Guaranty Bank	DOIID	400504	NAIC NPN	7222474

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Denied	Resident	Agent	Health
Denied	Resident	Agent	Life
Inactive	Resident	Agent	Limited Line Credit	6/22/2015	3/31/2019
Inactive	Resident	Agent	Mortgage Redemption	3/9/1999	8/7/2000
Inactive	Resident	Agent	Credit Life & Health	2/9/1999	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	Fidelity Security Life Insurance Company	300466	Agent - Life	4/25/2003	11/8/2006
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Credit Life & Health	2/9/1999	8/7/2000
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Health	2/22/2000	3/31/2015
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	2/22/2000	3/31/2015
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	5/3/2002	3/31/2015
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Mortgage Redemption	3/9/1999	8/7/2000
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Health	1/1/2005	3/31/2015
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Life	1/1/2005	3/31/2015
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	1/30/2017	3/31/2019
Inactive	Southern Financial Life Insurance Company	300664	Agent - Credit Life & Health	3/29/1999	8/7/2000
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	6/25/2015	3/31/2019

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Baldridge, Ronnie S	310445	Agent - Limited Line Credit	1/13/2005	5/31/2006
Inactive	Johnson, Charles Darvin	347549	Agent - Health	2/22/2000	12/1/2011
Inactive	Johnson, Charles Darvin	347549	Agent - Life	2/22/2000	12/1/2011
Inactive	Mills, Tina R	304864	Agent - Limited Line Credit	6/22/2015	3/31/2019
Inactive	Reffett, Dexter Dale	315911	Agent - Credit Life & Health	2/9/1999	8/7/2000
Inactive	Reffett, Dexter Dale	315911	Agent - Health	2/22/2000	3/31/2015
Inactive	Reffett, Dexter Dale	315911	Agent - Life	2/22/2000	3/31/2015
Inactive	Slone, Rita J	382422	Agent - Limited Line Credit	6/22/2015	3/31/2019