DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Harrodsburg Ford-Mercury Inc.	DOIID	400772	NAIC NPN	7222667

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Credit Life & Health	10/20/1997	8/7/2000
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	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	Kentucky Home Life Insurance Company	300477	Agent - Credit Life & Health	8/3/2000	8/7/2000
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	8/7/2000	5/31/2003
Inactive	National Guardian Life Insurance Company	300596	Agent - Credit Life & Health	10/20/1997	3/31/1999

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bourne, Robert L	340124	Agent - Credit Life & Health	8/3/2000	8/7/2000
Inactive	Bourne, Robert L	340124	Agent - Limited Line Credit	8/7/2000	5/31/2003
Inactive	Gibson, Kevin L	355503	Agent - Credit Life & Health	10/20/1997	3/31/1999
Inactive	Watson, Paul Michael	336546	Agent - Credit Life & Health	10/20/1997	3/31/1999