DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Bluegrass Concepts Inc.	DOIID	596680	NAIC NPN	8269895

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	10/15/2004	3/31/2010
Inactive	Resident	Agent	Property	1/11/2008	3/31/2010
Inactive	Resident	Agent	Health	10/15/2004	3/31/2010
Inactive	Resident	Agent	Casualty	1/11/2008	3/31/2010
* 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	Allstate Indemnity Company	300778	Agent - Casualty	6/8/2005	10/10/2007
Inactive	Allstate Indemnity Company	300778	Agent - Property	6/8/2005	10/10/2007
Inactive	Allstate Insurance Company	300773	Agent - Casualty	6/8/2005	10/10/2007
Inactive	Allstate Insurance Company	300773	Agent - Property	6/8/2005	10/10/2007
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	8/12/2005	10/10/2007
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Property	8/12/2005	10/10/2007
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Health	2/13/2007	3/31/2010
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Life	2/13/2007	3/31/2010
Inactive	Everlake Life Insurance Company	300873	Agent - Health	6/8/2005	3/31/2010
Inactive	Everlake Life Insurance Company	300873	Agent - Life	6/8/2005	3/31/2010
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	10/29/2008	3/31/2010
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	10/29/2008	3/31/2010

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Coleman, Amber Renee	637261	Agent - Casualty	1/11/2008	10/29/2008
Inactive	Coleman, Amber Renee	637261	Agent - Property	1/11/2008	10/29/2008
Inactive	Coomes, Kristi Lee	573554	Agent - Casualty	1/11/2008	3/31/2010
Inactive	Coomes, Kristi Lee	573554	Agent - Health	10/15/2004	3/31/2010
Inactive	Coomes, Kristi Lee	573554	Agent - Life	10/15/2004	3/31/2010
Inactive	Coomes, Kristi Lee	573554	Agent - Property	1/11/2008	3/31/2010
Inactive	Shelton, Heather Nicole	592044	Agent - Casualty	1/18/2005	11/13/2006
Inactive	Shelton, Heather Nicole	592044	Agent - Property	1/18/2005	11/13/2006