DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	United Community Bank Of West Kentucky Inc	DOIID	542036	NAIC NPN	7223430

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	6/9/2023		3/31/2025
Active	Resident	Agent	Health	6/9/2023		3/31/2025
Denied	Resident	Agent	Personal Lines
Denied	Resident	Agent	Limited Line Credit
* 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

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American National Insurance Company	301861	Agent - Limited Line Credit	3/29/2013	7/21/2016
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	10/31/2006	3/31/2021
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	10/31/2006	3/31/2021
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Health	12/3/2001	3/31/2021
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	12/3/2001	3/31/2021
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	3/23/2022	3/31/2023

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Brock, Sandra G	343996	Agent - Health	6/23/2022	3/31/2023
Inactive	Brock, Sandra G	343996	Agent - Life	6/23/2022	3/31/2023
Inactive	Brock, Sandra G	343996	Agent - Limited Line Credit	3/18/2022	3/31/2023
Inactive	Certain, Wilbert Garland	331604	Agent - Health	12/3/2001	5/1/2017
Inactive	Certain, Wilbert Garland	331604	Agent - Life	12/3/2001	5/1/2017
Inactive	Collins, Greg L	305794	Agent - Limited Line Credit	5/8/2013	9/30/2017
Inactive	Dyer, Sandra Lovell	605517	Agent - Limited Line Credit	3/29/2013	7/31/2016
Inactive	Henry, Tracy Michelle	605528	Agent - Limited Line Credit	5/8/2013	8/31/2020
Inactive	Holt, John Phillip	661567	Agent - Limited Line Credit	5/8/2013	2/29/2020
Inactive	Lovell, Gary Reburn	363042	Agent - Health	12/30/2003	12/1/2014
Inactive	Lovell, Gary Reburn	363042	Agent - Life	12/30/2003	12/1/2014
Inactive	Neitz, Travis Andrew	785736	Agent - Limited Line Credit	5/8/2013	2/28/2019
Active	Onan, Daniel Hayes	1055868	Agent - Health	6/9/2023
Active	Onan, Daniel Hayes	1055868	Agent - Life	6/9/2023
Inactive	Ronemous, Lesley	1142430	Agent - Limited Line Credit	3/18/2022	3/31/2023
Inactive	Schneider, Mary Leicia	750364	Agent - Limited Line Credit	3/18/2022	3/31/2023
Inactive	Sheffer, Gail H	751746	Agent - Limited Line Credit	6/23/2022	3/31/2023