DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Kivett, Nancy Bradley	DOIID	510923	NAIC NPN	7214016

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	4/3/2002	7/1/2002
Inactive	Resident	Agent	Property	3/25/2002	7/1/2002
Inactive	Resident	Agent	Life	4/3/2002	7/1/2002
Inactive	Resident	Agent	Casualty	8/21/2000	7/1/2002
* 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	American States Life Insurance Company	301884	Agent - Health	5/29/2002	7/1/2002
Inactive	American States Life Insurance Company	301884	Agent - Life	5/29/2002	7/1/2002
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	11/13/2000	7/1/2002
Inactive	EMC National Life Company	300388	Agent - Life	4/4/2002	7/1/2002
Inactive	Employers Mutual Casualty Company	300202	Agent - Casualty	3/25/2002	7/1/2002
Inactive	Employers Mutual Casualty Company	300202	Agent - Property	3/25/2002	7/1/2002
Inactive	FB Insurance Company (The)	301763	Agent - Casualty	8/21/2000	2/21/2002
Inactive	FB Insurance Company (The)	301763	Agent - Health	10/27/2000	2/21/2002
Inactive	FB Insurance Company (The)	301763	Agent - Property	8/21/2000	2/21/2002
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Casualty	3/25/2002	7/1/2002
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Property	3/25/2002	7/1/2002
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	6/24/2002	7/1/2002
Inactive	Humana Insurance Company	301104	Agent - Health	6/24/2002	7/1/2002
Inactive	Humana Insurance Company	301104	Agent - Life	6/24/2002	7/1/2002
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	8/21/2000	2/21/2002
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	8/21/2000	2/21/2002
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	10/26/2000	2/21/2002
Inactive	Symetra Life Insurance Company	301691	Agent - Health	4/3/2002	7/1/2002
Inactive	Symetra Life Insurance Company	301691	Agent - Life	4/3/2002	7/1/2002

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Cook-Grogan Insurance Agency Inc.	398517	Agent - Life	5/3/2002	7/1/2002
Inactive	Cook-Grogan Insurance Agency Inc.	398517	Agent - Health	5/3/2002	7/1/2002
Inactive	Cook-Grogan Insurance Agency Inc.	398517	Agent - Casualty	5/3/2002	7/1/2002
Inactive	Cook-Grogan Insurance Agency Inc.	398517	Agent - Property	5/3/2002	7/1/2002
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	11/6/2000	2/21/2002
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	11/6/2000	2/21/2002
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	8/15/2000	2/21/2002
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	8/15/2000	2/21/2002