DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Basham, David Douglas	DOIID	539281	NAIC NPN	7219830

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Limited Line Credit	10/8/2001	2/28/2018
* 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	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	5/4/2017	2/28/2018
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	9/8/2010	3/10/2011
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	7/11/2006	11/26/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Hutch Chevrolet Buick Gmc Inc	757010	Agent - Limited Line Credit	6/16/2011	2/28/2018
Inactive	John Gray Pontiac-Buick GMC Truck Inc.	398472	Agent - Limited Line Credit	3/14/2003	3/31/2012
Inactive	Mann Auto Sales Of Prestonsburg LLC	734867	Agent - Limited Line Credit	9/8/2010	2/28/2012