DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Trigg Co Farmers Bank	DOIID	398196	NAIC NPN	7220717

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	12/29/2003
Inactive	Resident	Agent	Health	2/24/2000	5/31/2004
Inactive	Resident	Agent	Life	2/24/2000	5/31/2004
Inactive	Resident	Agent	Credit Life & Health	5/16/1986	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	Investors Heritage Life Insurance Company	300363	Agent - Credit Life & Health	12/21/1998	8/7/2000
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Health	2/24/2000	5/31/2004
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	2/24/2000	5/31/2004
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	8/7/2000	12/29/2003
Inactive	Southern Financial Life Insurance Company	300664	Agent - Credit Life & Health	9/8/1998	12/18/1998
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Credit Life & Health	5/16/1986	9/8/1998

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Carr, Jimmie J	357407	Agent - Credit Life & Health	12/18/1998	8/7/2000
Inactive	Carr, Jimmie J	357407	Agent - Limited Line Credit	8/7/2000	5/21/2003
Inactive	Hendricks, Suellen J	306114	Agent - Health	2/24/2000	5/31/2004
Inactive	Hendricks, Suellen J	306114	Agent - Life	2/24/2000	5/31/2004
Inactive	Hudson, Teddy Lee	341391	Agent - Credit Life & Health	12/18/1998	8/7/2000
Inactive	Hudson, Teddy Lee	341391	Agent - Limited Line Credit	8/7/2000	3/6/2003
Inactive	Mcdaniels, Jeffrey Ryan	305316	Agent - Credit Life & Health	12/18/1998	8/7/2000
Inactive	Mcdaniels, Jeffrey Ryan	305316	Agent - Health	2/24/2000	12/29/2003
Inactive	Mcdaniels, Jeffrey Ryan	305316	Agent - Life	2/24/2000	12/29/2003
Inactive	Mcdaniels, Jeffrey Ryan	305316	Agent - Limited Line Credit	8/7/2000	12/29/2003
Inactive	Oliver, Ramon Haydon	370347	Agent - Credit Life & Health	12/18/1998	8/7/2000
Inactive	Oliver, Ramon Haydon	370347	Agent - Limited Line Credit	8/7/2000	12/29/2003