DEPARTMENT OF INSURANCE

Affiliations

Name	Weaver, Justin Jay	DOIID	614794	NAIC NPN	8580834

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	9/22/2005	2/2/2009
Inactive	Resident	Agent	Casualty	10/11/2005	7/30/2008
Inactive	Resident	Agent	Health	9/27/2005	2/2/2009
Inactive	Resident	Agent	Property	10/20/2005	7/30/2008
* 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	American Heritage Life Insurance Company	300272	Agent - Health	12/1/2005	6/23/2008
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	12/1/2005	6/23/2008
Inactive	Assurity Life Insurance Company	301099	Agent - Health	9/18/2006	7/30/2008
Inactive	Assurity Life Insurance Company	301099	Agent - Life	9/18/2006	7/30/2008
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	2/12/2008	7/30/2008
Inactive	Bristol West Insurance Company	301655	Agent - Property	2/12/2008	7/30/2008
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	11/3/2005	7/24/2008
Inactive	FB Insurance Company (The)	301763	Agent - Casualty	10/11/2005	6/26/2008
Inactive	FB Insurance Company (The)	301763	Agent - Health	9/27/2005	6/26/2008
Inactive	FB Insurance Company (The)	301763	Agent - Property	10/20/2005	6/26/2008
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	7/12/2007	2/2/2009
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	7/12/2007	2/2/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	3/3/2006	12/29/2008
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	3/3/2006	12/29/2008
Denied	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health
Denied	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	10/11/2005	6/26/2008
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Health	9/27/2005	6/26/2008
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	10/20/2005	7/30/2008
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	9/27/2005	6/26/2008
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	9/22/2005	6/26/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	10/28/2005	6/26/2008
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	10/28/2005	6/26/2008
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	10/28/2005	6/26/2008
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	10/28/2005	6/26/2008