DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	NAMIS Insurance Services of Kentucky Inc.	DOIID	400835	NAIC NPN	7222697

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	General Lines	4/30/1997	10/4/1999
Inactive	Resident	Agent	Life	3/21/1997	10/4/1999
Inactive	Resident	Agent	Health	3/21/1997	10/4/1999
* 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	All American Life Insurance Company	300702	Agent - Health	3/21/1997	10/4/1999
Inactive	All American Life Insurance Company	300702	Agent - Life	3/21/1997	10/4/1999
Inactive	Lamorak Insurance Company	301231	Agent - General Lines	4/30/1997	10/4/1999
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	10/1/1998	10/4/1999

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Anderson, Donald W	392033	Agent - General Lines	4/30/1997	10/4/1999
Inactive	Anderson, Donald W	392033	Agent - Health	4/30/1997	10/4/1999
Inactive	Anderson, Donald W	392033	Agent - Life	4/30/1997	10/4/1999
Inactive	Martin, Scott Reese	304175	Agent - Health	3/21/1997	10/4/1999
Inactive	Martin, Scott Reese	304175	Agent - Life	3/21/1997	10/4/1999