DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Life of the South Agency, Inc.	DOIID	588809	NAIC NPN	3007551

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	9/23/2004	3/31/2008
Inactive	Non Resident	Agent	Life	9/23/2004	3/31/2008
* 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	Athene Annuity & Life Assurance Company	301798	Agent - Health	9/25/2006	3/31/2008
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	9/25/2006	3/31/2008

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Simmons, Gary Marvin	594387	Agent - Health	9/23/2004	3/31/2008
Inactive	Simmons, Gary Marvin	594387	Agent - Life	9/23/2004	3/31/2008