DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Rich, Jeffery David	DOIID	831529	NAIC NPN	5952912

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	1/14/2014	2/28/2015
* 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	Individual Assurance Company Life Health & Accident	300580	Agent - Limited Line Credit	6/23/2014	2/28/2015
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	1/22/2014	2/28/2015
Inactive	Plateau Insurance Company	300368	Agent - Limited Line Credit	1/15/2014	1/16/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Peoples Bank & Trust Co Of Clinton County	632678	Agent - Limited Line Credit	1/16/2014	2/28/2015