DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Etheredge Insurance Inc.	DOIID	761475	NAIC NPN	16353000

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Casualty	8/20/2011	3/31/2017
Inactive	Resident	Agent	Life	8/20/2011	3/31/2017
Inactive	Resident	Agent	Health	8/20/2011	3/31/2017
Inactive	Resident	Agent	Property	8/20/2011	3/31/2017
* 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	American Retirement Life Insurance Company	706303	Agent - Health	11/3/2015	3/31/2017
Inactive	American Retirement Life Insurance Company	706303	Agent - Life	11/3/2015	3/31/2017
Inactive	Athene Annuity & Life Assurance Company of New York	300724	Agent - Life	10/28/2011	5/8/2013
Inactive	Thrivent Financial for Lutherans	301101	Agent - Health	12/4/2016	3/31/2017

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Etheredge, David A	336967	Agent - Casualty	8/20/2011	3/31/2017
Inactive	Etheredge, David A	336967	Agent - Health	8/20/2011	3/31/2017
Inactive	Etheredge, David A	336967	Agent - Life	8/20/2011	3/31/2017
Inactive	Etheredge, David A	336967	Agent - Property	8/20/2011	3/31/2017