DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Clark, Betty Josephine	DOIID	704344	NAIC NPN	13732106

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Limited Line Credit	5/28/2009		10/31/2024
* 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	08/15/2024	10/31/2024

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	5/28/2009	4/12/2024
Active	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	9/4/2019
Inactive	Plateau Insurance Company	300368	Agent - Limited Line Credit	5/5/2017	3/11/2024

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	3/26/2024
Inactive	First National Bank	400908	Agent - Limited Line Credit	1/18/2016	4/18/2024