DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Phelps, Curtis James	DOIID	635055	NAIC NPN	8843371

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Adjuster	Independent	11/9/2007	5/21/2009
Inactive	Resident	Agent	Health	8/27/2013	6/1/2015
Inactive	Resident	Agent	Life	8/27/2013	6/1/2015
Inactive	Resident	Apprentice Adjuster	Not Applicable	5/22/2007	11/9/2007
* 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 Income Life Insurance Company	300256	Agent - Health	8/27/2013	6/1/2015
Inactive	American Income Life Insurance Company	300256	Agent - Life	8/27/2013	6/1/2015
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Health	8/25/2006	2/2/2007
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Life	8/25/2006	2/2/2007

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 Mutual Insurance Company	300570	Adjuster - Independent	11/28/2007	2/26/2009

Sponsored By

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fisher, Michael Douglas	333946	Apprentice Adjuster - Not Applicable	5/22/2007	11/9/2007