DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Carrico, Justin Thomas	DOIID	582777	NAIC NPN	7973138

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Denied	Resident	Agent	Health
Inactive	Resident	Agent	Life	2/10/2004	7/1/2006
Inactive	Resident	Agent	Limited Line Credit	1/2/2007	3/31/2009
* 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
Denied	Investors Heritage Life Insurance Company	300363	Agent - Health
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	2/10/2004	7/1/2006
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	11/24/2008	3/31/2009
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	2/9/2006	5/31/2006
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Life	4/27/2005	4/11/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	First Kentucky Bank, Inc.	398175	Agent - Limited Line Credit	11/17/2008	11/17/2008