DEPARTMENT OF INSURANCE
Affiliations
NameBank of the Bluegrass & Trust Co.DOIID533316NAIC NPN7223351
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentLife10/22/2001 3/31/2025
ActiveResidentAgentHealth10/22/2001 3/31/2025
InactiveResidentAgentLimited Line Credit10/4/20012/1/2022 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202503/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAllianz Life Insurance Company of North America301791Agent - Life9/19/2018 
InactiveAmerican General Life Insurance Company301585Agent - Health8/5/200411/9/2012
InactiveAmerican General Life Insurance Company301585Agent - Life8/5/200411/9/2012
InactiveAthene Annuity & Life Assurance Company of New York300724Agent - Life5/4/20073/23/2012
InactiveAthene Annuity and Life Company301893Agent - Life9/13/201812/8/2021
ActiveDelaware Life Insurance Company301256Agent - Health11/15/2017 
ActiveDelaware Life Insurance Company301256Agent - Life11/15/2017 
ActiveFidelity & Guaranty Life Insurance Company301359Agent - Life12/2/2015 
ActiveForethought Life Insurance Company301407Agent - Health9/23/2015 
ActiveForethought Life Insurance Company301407Agent - Life9/23/2015 
ActiveGuaranty Income Life Insurance Company552451Agent - Health5/26/2017 
ActiveGuaranty Income Life Insurance Company552451Agent - Life5/26/2017 
ActiveIllinois Mutual Life Insurance Company301479Agent - Health4/2/2024 
ActiveIllinois Mutual Life Insurance Company301479Agent - Life4/2/2024 
ActiveInvestors Heritage Life Insurance Company300363Agent - Health10/22/2001 
InactiveInvestors Heritage Life Insurance Company300363Agent - Life10/22/20014/4/2024
InactiveInvestors Heritage Life Insurance Company300363Agent - Limited Line Credit10/4/20012/1/2022
InactiveJefferson Pilot Financial Insurance Company300756Agent - Health1/3/20027/2/2007
InactiveJefferson Pilot Financial Insurance Company300756Agent - Life1/3/20027/2/2007
InactiveJefferson-Pilot Life Insurance Company300379Agent - Health1/3/20024/2/2007
InactiveJefferson-Pilot Life Insurance Company300379Agent - Life1/3/20024/2/2007
ActiveLincoln National Life Insurance Company (The)301382Agent - Health4/2/2007 
ActiveLincoln National Life Insurance Company (The)301382Agent - Life4/2/2007 
InactiveMidland National Life Insurance Company300923Agent - Health2/1/20054/3/2021
ActiveMidland National Life Insurance Company300923Agent - Life2/1/2005 
InactiveNorth American Company for Life and Health Insurance300291Agent - Life9/11/20154/26/2019
InactivePrincipal Life Insurance Company300129Agent - Health7/8/20021/29/2015
InactivePrincipal Life Insurance Company300129Agent - Life7/8/20021/29/2015
InactiveStandard Insurance Company300185Agent - Health10/7/201812/5/2022
InactiveStandard Insurance Company300185Agent - Life10/7/201812/5/2022
ActiveState Life Insurance Company301497Agent - Health8/30/2015 
ActiveState Life Insurance Company301497Agent - Life8/30/2015 
InactiveTransamerica Life Insurance Company300571Agent - Health6/16/201610/18/2023
InactiveTransamerica Life Insurance Company300571Agent - Life6/16/201610/18/2023
InactiveUnion Security Insurance Company301844Agent - Health1/8/20072/23/2015
InactiveUnion Security Insurance Company301844Agent - Life1/8/20072/23/2015
InactiveWestern National Life Insurance Company300461Agent - Life7/30/20048/10/2004
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBanta, Kathy J. 509673Agent - Health2/27/20044/10/2024
InactiveBanta, Kathy J. 509673Agent - Life2/27/20044/10/2024
InactiveBrowning, Richard E 307138Agent - Health10/22/20018/23/2004
InactiveBrowning, Richard E 307138Agent - Life10/22/20018/23/2004
InactiveCarpenter, Wanda Mae 309559Agent - Limited Line Credit2/27/20044/2/2007
ActiveFranklin, Timothy Wayne 307978Agent - Health10/22/2001 
ActiveFranklin, Timothy Wayne 307978Agent - Life10/22/2001 
InactiveFranklin, Timothy Wayne 307978Agent - Limited Line Credit10/4/200112/9/2002
InactiveFrye, Jennifer Fister 527084Agent - Limited Line Credit2/27/20044/30/2007
InactiveHerren, Mark Robert 388567Agent - Limited Line Credit2/27/20042/28/2009
InactiveJackson, Deborah Lynn 336026Agent - Life2/27/200411/30/2021
InactiveJackson, Deborah Lynn 336026Agent - Limited Line Credit2/27/200411/30/2021
InactiveJett, M. Monroe 306621Agent - Health10/22/20012/27/2004
InactiveJett, M. Monroe 306621Agent - Life10/22/20012/27/2004
InactiveJones, Robert Bondurant 359496Agent - Health2/27/20044/27/2021
InactiveJones, Robert Bondurant 359496Agent - Life2/27/20044/27/2021
InactiveKulkriwes, Tophan 533289Agent - Health2/27/20044/2/2007
InactiveKulkriwes, Tophan 533289Agent - Life2/27/20044/2/2007
InactiveTurley, Barbara Sue 389369Agent - Life2/27/20043/12/2008
InactiveTurley, Barbara Sue 389369Agent - Limited Line Credit2/27/20043/12/2008
InactiveWhite, Matthew Devon 527161Agent - Limited Line Credit2/27/20043/31/2009

© Commonwealth of Kentucky. All rights reserved.