DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Highlands Family Owned Funeral Home	DOIID	611100	NAIC NPN	8506049

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	6/27/2005		3/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2025	03/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Cincinnati Equitable Life Insurance Company	641870	Agent - Life	1/30/2007
Inactive	Forethought Life Insurance Company	301407	Agent - Life	7/14/2005	12/12/2011
Active	Kentucky Funeral Directors Life Insurance Company	532905	Agent - Life	4/17/2008
Inactive	Southland National Insurance Corporation	517954	Agent - Life	9/21/2005	7/28/2010

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bryant, Cynthia Lay	355571	Agent - Life	2/23/2007	2/12/2013
Inactive	Dougherty, Daniel Joseph	356066	Agent - Life	6/27/2005	9/25/2009
Active	Howard, Letticia	378863	Agent - Life	6/16/2022
Inactive	O'Rourke, Wendy Goble	324864	Agent - Life	2/23/2007	8/31/2017
Inactive	Schur, Shannon J	311403	Agent - Life	2/23/2007	8/25/2020
Inactive	Walker-Wooley, Sondra Ann	501656	Agent - Life	2/23/2007	4/1/2022