DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

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		10/31/2026
* 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	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