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DEPARTMENT OF INSURANCE
Affiliations
Name
Bank of the Bluegrass & Trust Co.
DOIID
533316
NAIC NPN
7223351
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Resident
Agent
Health
10/22/2001
3/31/2027
Active
Resident
Agent
Life
10/22/2001
3/31/2027
Inactive
Resident
Agent
Limited Line Credit
10/4/2001
2/1/2022
* If a status Is
Pending, Pending Replacement
,Or the record displays
Affidavit On File
, click On them For more details.
License Renewal Information
Class
Invoice Date
Response Due / Expiration Date
Response Received Date
Payment Received Date
Renewal Complete
Agent
01/15/2025
03/31/2025
01/29/2025
01/29/2025
Yes
Appointments with the following Insurers
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Active
Allianz Life Insurance Company of North America
301791
Agent - Life
9/19/2018
Inactive
American General Life Insurance Company
301585
Agent - Health
8/5/2004
11/9/2012
Inactive
American General Life Insurance Company
301585
Agent - Life
8/5/2004
11/9/2012
Inactive
Athene Annuity & Life Assurance Company of New York
300724
Agent - Life
5/4/2007
3/23/2012
Inactive
Athene Annuity and Life Company
301893
Agent - Life
9/13/2018
12/8/2021
Active
Delaware Life Insurance Company
301256
Agent - Health
11/15/2017
Active
Delaware Life Insurance Company
301256
Agent - Life
11/15/2017
Active
Fidelity & Guaranty Life Insurance Company
301359
Agent - Life
12/2/2015
Active
Forethought Life Insurance Company
301407
Agent - Health
9/23/2015
Active
Forethought Life Insurance Company
301407
Agent - Life
9/23/2015
Active
Guaranty Income Life Insurance Company
552451
Agent - Health
5/26/2017
Active
Guaranty Income Life Insurance Company
552451
Agent - Life
5/26/2017
Active
Illinois Mutual Life Insurance Company
301479
Agent - Health
4/2/2024
Active
Illinois Mutual Life Insurance Company
301479
Agent - Life
4/2/2024
Active
Investors Heritage Life Insurance Company
300363
Agent - Health
10/22/2001
Inactive
Investors Heritage Life Insurance Company
300363
Agent - Life
10/22/2001
4/4/2024
Inactive
Investors Heritage Life Insurance Company
300363
Agent - Limited Line Credit
10/4/2001
2/1/2022
Inactive
Jefferson Pilot Financial Insurance Company
300756
Agent - Health
1/3/2002
7/2/2007
Inactive
Jefferson Pilot Financial Insurance Company
300756
Agent - Life
1/3/2002
7/2/2007
Inactive
Jefferson-Pilot Life Insurance Company
300379
Agent - Health
1/3/2002
4/2/2007
Inactive
Jefferson-Pilot Life Insurance Company
300379
Agent - Life
1/3/2002
4/2/2007
Active
Lincoln National Life Insurance Company (The)
301382
Agent - Health
4/2/2007
Active
Lincoln National Life Insurance Company (The)
301382
Agent - Life
4/2/2007
Inactive
Midland National Life Insurance Company
300923
Agent - Health
2/1/2005
4/3/2021
Active
Midland National Life Insurance Company
300923
Agent - Life
2/1/2005
Inactive
North American Company for Life and Health Insurance
300291
Agent - Life
9/11/2015
4/26/2019
Inactive
Principal Life Insurance Company
300129
Agent - Health
7/8/2002
1/29/2015
Inactive
Principal Life Insurance Company
300129
Agent - Life
7/8/2002
1/29/2015
Inactive
Standard Insurance Company
300185
Agent - Health
10/7/2018
12/5/2022
Inactive
Standard Insurance Company
300185
Agent - Life
10/7/2018
12/5/2022
Active
State Life Insurance Company
301497
Agent - Health
8/30/2015
Active
State Life Insurance Company
301497
Agent - Life
8/30/2015
Inactive
Transamerica Life Insurance Company
300571
Agent - Health
6/16/2016
10/18/2023
Inactive
Transamerica Life Insurance Company
300571
Agent - Life
6/16/2016
10/18/2023
Inactive
Union Security Insurance Company
301844
Agent - Health
1/8/2007
2/23/2015
Inactive
Union Security Insurance Company
301844
Agent - Life
1/8/2007
2/23/2015
Inactive
Western National Life Insurance Company
300461
Agent - Life
7/30/2004
8/10/2004
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Banta, Kathy J.
509673
Agent - Health
2/27/2004
4/10/2024
Inactive
Banta, Kathy J.
509673
Agent - Life
2/27/2004
4/10/2024
Inactive
Browning, Richard E
307138
Agent - Health
10/22/2001
8/23/2004
Inactive
Browning, Richard E
307138
Agent - Life
10/22/2001
8/23/2004
Inactive
Carpenter, Wanda Mae
309559
Agent - Limited Line Credit
2/27/2004
4/2/2007
Active
Franklin, Timothy Wayne
307978
Agent - Health
10/22/2001
Active
Franklin, Timothy Wayne
307978
Agent - Life
10/22/2001
Inactive
Franklin, Timothy Wayne
307978
Agent - Limited Line Credit
10/4/2001
12/9/2002
Inactive
Frye, Jennifer Fister
527084
Agent - Limited Line Credit
2/27/2004
4/30/2007
Inactive
Herren, Mark Robert
388567
Agent - Limited Line Credit
2/27/2004
2/28/2009
Inactive
Jackson, Deborah Lynn
336026
Agent - Life
2/27/2004
11/30/2021
Inactive
Jackson, Deborah Lynn
336026
Agent - Limited Line Credit
2/27/2004
11/30/2021
Inactive
Jett, M. Monroe
306621
Agent - Health
10/22/2001
2/27/2004
Inactive
Jett, M. Monroe
306621
Agent - Life
10/22/2001
2/27/2004
Inactive
Jones, Robert Bondurant
359496
Agent - Health
2/27/2004
4/27/2021
Inactive
Jones, Robert Bondurant
359496
Agent - Life
2/27/2004
4/27/2021
Inactive
Kulkriwes, Tophan
533289
Agent - Health
2/27/2004
4/2/2007
Inactive
Kulkriwes, Tophan
533289
Agent - Life
2/27/2004
4/2/2007
Inactive
Turley, Barbara Sue
389369
Agent - Life
2/27/2004
3/12/2008
Inactive
Turley, Barbara Sue
389369
Agent - Limited Line Credit
2/27/2004
3/12/2008
Inactive
White, Matthew Devon
527161
Agent - Limited Line Credit
2/27/2004
3/31/2009
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