DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Jones, David Michael	DOIID	643343	NAIC NPN	8960831

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	11/27/2006	9/1/2012
* 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	Forethought Life Insurance Company	301407	Agent - Life	12/4/2006	9/1/2012
Denied	Funeral Directors Life Insurance Company	301863	Agent - Life
Inactive	Kentucky Funeral Directors Life Insurance Company	532905	Agent - Life	11/20/2008	9/1/2012
Inactive	Lincoln Memorial Life Insurance Company	300463	Agent - Life	11/27/2006	4/28/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CFH, Inc	695772	Agent - Life	12/17/2008	9/1/2012