DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Baker, Penny J	DOIID	943209	NAIC NPN	18296643

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	2/13/2017		7/31/2025
* 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	Great Western Insurance Company	501693	Agent - Life	7/30/2020	7/12/2021
Active	Homesteaders Life Company	300836	Agent - Life	2/21/2017
Active	Southern Financial Life Insurance Company	300664	Agent - Life	7/12/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Blackburn & Ward Funeral Home Inc	398957	Agent - Life	2/21/2017