DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Free, Shelia M	DOIID	343197	NAIC NPN	7188448

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Credit Life & Health	4/26/1994	8/7/2000
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	11/30/2009
Inactive	Resident	Agent	Debtors Life	7/13/1999	8/7/2000
* 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	Kentucky Home Life Insurance Company	300477	Agent - Credit Life & Health	11/24/1998	8/7/2000
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Debtors Life	7/13/1999	8/7/2000
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	8/7/2000	3/6/2009
Inactive	National Guardian Life Insurance Company	300596	Agent - Credit Life & Health	4/26/1994	12/1/1998

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	First State Bank Incorporated	399998	Agent - Limited Line Credit	3/27/2003	3/6/2009