DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Scrogham, Jonlyn Nicole	DOIID	869989	NAIC NPN	17513285

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	12/22/2015		6/30/2026
Active	Resident	Agent	Limited Line Credit	2/24/2015		6/30/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	04/15/2024	06/30/2024	04/15/2024	04/15/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Forethought Life Insurance Company	301407	Agent - Life	3/3/2021
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	3/4/2015	4/12/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	CBIA	527160	Agent - Life	6/23/2021
Inactive	Central Bank & Trust Company	398350	Agent - Limited Line Credit	3/17/2015	3/23/2020