DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Branstetter, Roy Thomas	DOIID	566158	NAIC NPN	7629274

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	3/27/2003	7/1/2004
Inactive	Resident	Agent	Life	3/27/2003	7/1/2004
* 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 - Health	8/18/2003	7/1/2004
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Life	8/18/2003	7/1/2004
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	3/27/2003	7/2/2003
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	3/27/2003	7/2/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	First Service Corporation of Elizabethtown	398442	Agent - Health	11/3/2003	7/1/2004
Inactive	First Service Corporation of Elizabethtown	398442	Agent - Life	11/3/2003	7/1/2004