DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Direct Insurance Marketing Administrators Corporation	DOIID	522111	NAIC NPN	4669726

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Administrator	Not Applicable	1/11/2008	3/31/2021
Inactive	Resident	Agent	Life	2/28/2001	3/31/2009
Inactive	Resident	Agent	Health	10/8/2004	3/31/2009
* 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	Kentucky Home Life Insurance Company	300477	Agent - Health	2/28/2001	12/30/2004
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Life	2/28/2001	12/30/2004
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	10/8/2004	3/31/2009
Inactive	National Guardian Life Insurance Company	300596	Agent - Life	10/8/2004	3/31/2009

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Sherrod, Dennis	329084	Administrator - Not Applicable	1/11/2008	3/31/2021
Inactive	Sherrod, Dennis	329084	Agent - Health	10/8/2004	3/31/2009
Inactive	Sherrod, Dennis	329084	Agent - Life	2/28/2001	3/31/2009