DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Bank of the Mountains	DOIID	747565	NAIC NPN	16146032

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Limited Line Credit	2/4/2011	3/31/2021
* 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	2/4/2011	3/31/2021

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Cole, Christopher Todd	553077	Agent - Limited Line Credit	5/12/2017	11/30/2019
Inactive	Collett, Roy	304950	Agent - Limited Line Credit	2/4/2011	2/28/2011
Inactive	Engle, Zachary Ray	866547	Agent - Limited Line Credit	2/9/2017	3/31/2021
Inactive	Evans, Brandon Curtis	638474	Agent - Limited Line Credit	2/4/2011	12/31/2015
Inactive	Gevedon, Jeffrey E	351626	Agent - Limited Line Credit	5/12/2016	3/31/2020
Inactive	Hopkins, Jerry	500627	Agent - Limited Line Credit	5/12/2016	3/31/2021
Inactive	Hornbuckle, James William	324816	Agent - Limited Line Credit	2/4/2011	6/30/2012
Inactive	Ratliff, Adam	1013279	Agent - Limited Line Credit	10/23/2018	10/31/2020
Inactive	Scalf, Brian Joel	627383	Agent - Limited Line Credit	2/4/2011	5/31/2016
Inactive	Stacy, Cortis Kash	340437	Agent - Limited Line Credit	2/4/2011	7/31/2013
Denied	Stacy, Jodi Kash	954261	Agent - Limited Line Credit
Inactive	Stacy, Jonathan Travis	542733	Agent - Limited Line Credit	2/4/2011	3/31/2021