DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Gray, Jeremy Todd	DOIID	524534	NAIC NPN	7217216

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	5/3/2001	10/22/2001
Inactive	Resident	Agent	Health	5/3/2001	10/22/2001
Inactive	Resident	Agent	Limited Line Credit	8/8/2018	1/31/2020
* 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	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	8/20/2018	1/31/2020
Inactive	Liberty Life Insurance Company	301542	Agent - Health	5/3/2001	10/22/2001
Inactive	Liberty Life Insurance Company	301542	Agent - Life	5/3/2001	10/22/2001

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Farmers Capital Ins Corporation	399913	Agent - Limited Line Credit	8/20/2018	1/31/2020
Inactive	United Bank & Trust Co.	398198	Agent - Limited Line Credit	12/31/2014	1/31/2018