DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Dubose Ins And Financial Services Inc	DOIID	909874	NAIC NPN	11866652

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	3/15/2016	1/1/2018
* 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	Everlake Assurance Company	300203	Agent - Life	3/21/2016	11/29/2017
Inactive	Everlake Life Insurance Company	300873	Agent - Life	3/21/2016	11/29/2017
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	3/21/2016	11/29/2017

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dubose, Robert P	552297	Agent - Life	3/15/2016	10/31/2017