DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Century Bank Of Kentucky Inc	DOIID	509182	NAIC NPN	7223107

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Mortgage Redemption	4/24/2000	8/7/2000
Inactive	Resident	Agent	Casualty	8/23/2012	9/10/2021
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	8/1/2021
Inactive	Resident	Agent	Health	5/2/2011	9/10/2021
Inactive	Resident	Agent	Credit Life & Health	4/24/2000	8/7/2000
Inactive	Resident	Agent	Life	5/2/2011	9/10/2021
Inactive	Resident	Agent	Property	8/23/2012	9/10/2021
* 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	4/24/2000	8/7/2000
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	8/7/2000	5/27/2020
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Mortgage Redemption	4/24/2000	8/7/2000
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	9/8/2010	8/1/2021

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Carpenter, Kimberly Sue	567722	Agent - Limited Line Credit	1/14/2005	1/31/2012
Inactive	Edwards, Roy Thomas	349370	Agent - Limited Line Credit	1/22/2007	5/31/2008
Inactive	Fultz, William Jeffrey	377942	Agent - Credit Life & Health	4/24/2000	8/7/2000
Inactive	Fultz, William Jeffrey	377942	Agent - Limited Line Credit	8/7/2000	9/7/2010
Inactive	Gaines, Gary Brent	376069	Agent - Limited Line Credit	1/14/2005	8/31/2015
Inactive	Hanks, Jason A	387151	Agent - Limited Line Credit	2/28/2003	5/31/2016
Inactive	Herrick, Donna S.	504209	Agent - Credit Life & Health	4/24/2000	8/7/2000
Inactive	Herrick, Donna S.	504209	Agent - Limited Line Credit	8/7/2000	12/31/2005
Inactive	Perry, Timothy A	353752	Agent - Casualty	8/23/2012	8/27/2021
Inactive	Perry, Timothy A	353752	Agent - Health	5/2/2011	9/10/2021
Inactive	Perry, Timothy A	353752	Agent - Life	5/2/2011	9/10/2021
Inactive	Perry, Timothy A	353752	Agent - Property	8/23/2012	8/27/2021
Inactive	Popp, Berry Layne	526114	Agent - Limited Line Credit	2/28/2003	7/31/2009
Inactive	Shouse, John William	393862	Agent - Credit Life & Health	4/24/2000	8/7/2000
Inactive	Shouse, John William	393862	Agent - Limited Line Credit	8/7/2000	9/7/2010
Inactive	Shouse, John William	393862	Agent - Mortgage Redemption	4/24/2000	8/7/2000
Denied	Smith, Robert Tyler	777594	Agent - Limited Line Credit