DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	West Somerset Funeral Home Inc DBA : Lake Cumberland Funeral Home	DOIID	516172	NAIC NPN	7223209

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	7/13/2016	3/31/2020
* 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	Citizens Security Life Insurance Company	301257	Agent - Life	12/19/2000	3/31/2014
Inactive	Columbian Life Insurance Company	300810	Agent - Life	8/28/2014	8/29/2014

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Lange, Christopher Bryan	368314	Agent - Life	7/13/2016	3/31/2020
Inactive	McIntyre, Kevin Michael	323800	Agent - Life	1/20/2004	1/28/2005
Inactive	Muse, Jerry David	583564	Agent - Life	1/28/2005	3/31/2014
Inactive	New, Richard Dale	361332	Agent - Life	12/19/2000	3/31/2014