DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Breece, Chad Philip	DOIID	566693	NAIC NPN	7648778

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Casualty	4/9/2003	7/26/2007
Inactive	Resident	Agent	Health	4/10/2003	6/30/2007
Inactive	Resident	Agent	Life	4/10/2003	6/30/2007
Inactive	Resident	Agent	Property	4/9/2003	7/26/2007
* 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	American Heritage Life Insurance Company	300272	Agent - Health	2/6/2006	8/1/2007
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	2/6/2006	8/1/2007
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	2/25/2004	7/17/2007
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	2/25/2004	7/17/2007
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	4/21/2003	6/5/2007
Inactive	FB Insurance Company (The)	301763	Agent - Casualty	4/9/2003	5/16/2007
Inactive	FB Insurance Company (The)	301763	Agent - Health	4/10/2003	5/16/2007
Inactive	FB Insurance Company (The)	301763	Agent - Property	4/9/2003	5/16/2007
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	5/5/2003	6/15/2007
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	5/5/2003	6/15/2007
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	2/25/2004	7/17/2007
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	2/25/2004	7/17/2007
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	11/1/2005	6/30/2007
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	11/1/2005	6/30/2007
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	4/9/2003	5/16/2007
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Health	4/10/2003	5/16/2007
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	4/9/2003	5/16/2007
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	4/10/2003	5/16/2007
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	4/10/2003	5/16/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	4/17/2003	5/30/2007
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	4/17/2003	5/30/2007
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	4/17/2003	5/30/2007
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	4/17/2003	5/30/2007
Inactive	Southern Capital Brokerage Co LLC	577403	Agent - Health	9/7/2004	3/31/2007
Inactive	Southern Capital Brokerage Co LLC	577403	Agent - Life	9/7/2004	3/31/2007