DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Bluegrass Community Bank	DOIID	698001	NAIC NPN	12886160

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Limited Line Credit	2/6/2009	3/31/2019
* 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	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	2/6/2009	12/1/2017
Inactive	Plateau Insurance Company	300368	Agent - Limited Line Credit	11/3/2016	3/31/2019

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ayers, Douglas W	696156	Agent - Limited Line Credit	2/6/2009	2/1/2017
Inactive	Graves, Mike R	382403	Agent - Limited Line Credit	2/6/2009	3/31/2019
Inactive	Gray, Adam Jeffrey	814698	Agent - Limited Line Credit	7/30/2013	2/1/2017