DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Correll, Misty Dawn	DOIID	639128	NAIC NPN	8901719

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Limited Line Credit	6/6/2016		12/31/2025
* 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	10/15/2025	12/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	4/26/2007	12/31/2009
Active	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	6/23/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Citizens National Bank	398169	Agent - Limited Line Credit	6/23/2016
Inactive	Forcht Bank, NA	556805	Agent - Limited Line Credit	1/12/2011	12/31/2011
Inactive	Somerset National Bank	399947	Agent - Limited Line Credit	2/21/2007	2/1/2008