DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

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		3/31/2027
* 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
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