DEPARTMENT OF INSURANCE
Affiliations
NameHenderson National BankDOIID509870NAIC NPN7223132
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentHealth11/30/20012/25/2004 
InactiveResidentAgentVariable Life and Variable Annuities1/15/20022/25/2004 
InactiveResidentAgentCredit Life & Health6/22/20008/7/2000 
InactiveResidentAgentLife11/30/20012/25/2004 
InactiveResidentAgentLimited Line Credit8/7/20003/31/2010 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican General Assurance Company300586Agent - Limited Line Credit10/14/20043/31/2010
InactiveC.M. Life Insurance Company301335Agent - Health3/1/20022/25/2004
InactiveC.M. Life Insurance Company301335Agent - Life3/1/20022/25/2004
InactiveC.M. Life Insurance Company301335Agent - Variable Life and Variable Annuities3/1/20022/25/2004
InactiveCICA Life Insurance Company of America600487Agent - Limited Line Credit1/1/20053/31/2007
InactiveFidelity Security Life Insurance Company300466Agent - Limited Line Credit8/14/20003/10/2005
InactiveFirst Alliance Insurance Company301000Agent - Limited Line Credit8/9/20041/1/2005
InactiveInvestors Heritage Life Insurance Company300363Agent - Limited Line Credit3/23/20053/31/2010
InactiveKentucky Home Life Insurance Company300477Agent - Credit Life & Health6/22/20008/7/2000
InactiveKentucky Home Life Insurance Company300477Agent - Limited Line Credit8/7/20005/11/2005
InactiveMML Bay State Life Insurance Company301198Agent - Health3/1/20022/25/2004
InactiveMML Bay State Life Insurance Company301198Agent - Life3/1/20022/25/2004
InactiveMML Bay State Life Insurance Company301198Agent - Variable Life and Variable Annuities3/1/20022/25/2004
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Health11/30/20012/25/2004
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Life11/30/20012/25/2004
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Variable Life and Variable Annuities1/15/20022/25/2004
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAult, David Louis 500591Agent - Credit Life & Health6/22/20008/7/2000
InactiveAult, David Louis 500591Agent - Limited Line Credit8/7/20006/28/2001
InactiveBush, Brenda Jo 594695Agent - Limited Line Credit1/13/20053/31/2010
InactiveCampbell, Janet L 302611Agent - Credit Life & Health6/22/20008/7/2000
InactiveCampbell, Janet L 302611Agent - Limited Line Credit 1/16/2002
InactiveHester, Sandra E 594691Agent - Limited Line Credit1/13/20053/31/2010
InactiveNewsome, Jaynee Noel 595065Agent - Limited Line Credit1/13/200512/31/2007
InactiveOrrahood, James Wyatt 500588Agent - Credit Life & Health6/22/20008/7/2000
InactiveOrrahood, James Wyatt 500588Agent - Limited Line Credit8/7/20002/18/2003
InactiveWest, Anita Ruth 583685Agent - Limited Line Credit2/25/20043/31/2010
InactiveWood, Aaron Klinton 594687Agent - Limited Line Credit1/13/20053/31/2010
InactiveZiliak, Roger Edward 323655Agent - Health11/30/20012/25/2004
InactiveZiliak, Roger Edward 323655Agent - Life11/30/20012/25/2004
InactiveZiliak, Roger Edward 323655Agent - Variable Life and Variable Annuities1/15/20022/25/2004

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