DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

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.

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