DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Willoughby, Autumn Lee	DOIID	811401	NAIC NPN	16973867

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Limited Line Credit	5/31/2013	12/31/2018
Inactive	Non Resident	Agent	Health	10/16/2014	12/31/2018
Inactive	Non Resident	Agent	Life	1/20/2015	12/31/2018
* 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 Health and Life Insurance Company	300844	Agent - Health	2/23/2017	5/15/2018
Inactive	American Health and Life Insurance Company	300844	Agent - Life	2/23/2017	3/28/2018
Inactive	American Health and Life Insurance Company	300844	Agent - Limited Line Credit	2/23/2017	3/28/2018
Inactive	Lyndon Southern Insurance Company	609602	Agent - Limited Line Credit	6/3/2013	4/29/2015
Inactive	Merit Life Insurance Co.	300150	Agent - Health	10/17/2014	5/15/2018
Inactive	Merit Life Insurance Co.	300150	Agent - Life	1/22/2015	5/15/2018
Inactive	Merit Life Insurance Co.	300150	Agent - Limited Line Credit	7/9/2014	3/28/2018
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	6/3/2013	4/29/2015
Inactive	Triton Insurance Company	300654	Agent - Limited Line Credit	2/23/2017	3/28/2018
Inactive	Yosemite Insurance Company	301519	Agent - Limited Line Credit	7/9/2014	1/24/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	OneMain Financial Of America, Inc	821439	Agent - Limited Line Credit	3/18/2016	3/2/2018
Inactive	OneMain Financial Of America, Inc	821439	Agent - Life	2/25/2016	3/2/2018
Inactive	OneMain Financial Of America, Inc	821439	Agent - Health	2/25/2016	3/2/2018