DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Everly PFP, Inc. DBA : Simplicity Plans of Kentucky	DOIID	513945	NAIC NPN	2349250

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	4/10/2003	12/1/2004
* 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	Union Security Insurance Company	301844	Agent - Life	4/10/2003	12/1/2004

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Everly, Josiah Clark	565322	Agent - Life	4/10/2003	11/30/2004
Inactive	Hall, Kevin Neil	322456	Agent - Life	8/22/2000	12/1/2000