DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	First Capital Bank of Kentucky	DOIID	401097	NAIC NPN	7222917

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Limited Line Credit	6/9/2004	2/15/2005
Inactive	Resident	Agent	Credit Life & Health	7/2/1996	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	Investors Heritage Life Insurance Company	300363	Agent - Credit Life & Health	7/2/1996	8/7/2000
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	6/9/2004	2/15/2005

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Collier-Magruder, Berneice	311915	Agent - Credit Life & Health	7/2/1996	8/7/2000
Inactive	Collier-Magruder, Berneice	311915	Agent - Limited Line Credit	8/7/2000	5/31/2003
Denied	Ellington, Carmen Kay	303849	Agent - Limited Line Credit
Inactive	Farnsworth, Traci E	384615	Agent - Credit Life & Health	7/2/1996	8/7/2000
Inactive	Farnsworth, Traci E	384615	Agent - Limited Line Credit	6/9/2004	12/31/2004
Inactive	Gadlage, Tammy L	365833	Agent - Credit Life & Health	7/2/1996	8/7/2000
Inactive	Gadlage, Tammy L	365833	Agent - Limited Line Credit	6/9/2004	2/14/2005
Denied	Rudloff, Linda Stuart	338490	Agent - Limited Line Credit
Inactive	Rush, Debora L	365408	Agent - Credit Life & Health	7/2/1996	8/7/2000
Inactive	Rush, Debora L	365408	Agent - Limited Line Credit	8/7/2000	11/30/2003