DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Hornback, David Martin	DOIID	357473	NAIC NPN	7194781

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Credit Life & Health	10/20/1999	8/7/2000
Inactive	Resident	Agent	Limited Line Credit	1/29/2007	12/31/2009
* 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	American General Assurance Company	300586	Agent - Limited Line Credit	9/23/2002	12/31/2005
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	3/28/2007	12/31/2009
Inactive	Southern Financial Life Insurance Company	300664	Agent - Credit Life & Health	10/20/1999	8/7/2000
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	1/29/2007	12/31/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Murray Bank The	399915	Agent - Limited Line Credit	3/10/2003	12/31/2005