DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Phillips, Jennifer M	DOIID	605455	NAIC NPN	8424869

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Limited Line Credit	11/15/2011	6/30/2021
Inactive	Resident	Agent	Health	11/20/2009	6/30/2021
Inactive	Resident	Agent	Life	11/20/2009	6/30/2021
* 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	Forethought Life Insurance Company	301407	Agent - Health	4/21/2015	6/30/2021
Inactive	Forethought Life Insurance Company	301407	Agent - Life	4/21/2015	6/30/2021
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	11/15/2011	6/30/2021
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Health	11/20/2009	6/30/2021
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Life	11/20/2009	6/30/2021
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	4/4/2005	6/30/2009
Inactive	Standard Insurance Company	300185	Agent - Health	11/10/2014	6/30/2021
Inactive	Standard Insurance Company	300185	Agent - Life	11/10/2014	6/30/2021
Denied			Agent - Limited Line Credit

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CBIA	527160	Agent - Health	12/13/2011	7/9/2021
Inactive	CBIA	527160	Agent - Life	12/13/2011	7/9/2021
Inactive	Central Bank & Trust Company	398350	Agent - Limited Line Credit	12/13/2011	3/23/2020
Inactive	Farmers Bank & Trust Company	398356	Agent - Limited Line Credit	3/23/2006	1/29/2009
Inactive	Farmers Bank & Trust Company	398356	Agent - Health	6/29/2007	1/29/2009
Inactive	Farmers Bank & Trust Company	398356	Agent - Life	6/29/2007	1/29/2009
Inactive	United Bank & Capital Trust Co.	400887	Agent - Limited Line Credit	9/1/2005	3/23/2006
Inactive	United Bank & Trust Co.	398198	Agent - Limited Line Credit	12/22/2008	6/30/2009
Inactive	United Bank & Trust Co.	398198	Agent - Health	4/29/2010	10/18/2011
Inactive	United Bank & Trust Co.	398198	Agent - Life	4/29/2010	10/18/2011