DEPARTMENT OF INSURANCE

Affiliations

Name	United Citizens Bank & Trust Company	DOIID	398804	NAIC NPN	7221175

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	2/11/2025		3/31/2026
Active	Resident	Agent	Life	2/11/2025		3/31/2026
Denied	Resident	Agent	Limited Line Credit
Inactive	Resident	Agent	Credit Life & Health	9/13/1994	8/7/2000
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2026	03/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	First Alliance Insurance Company	301000	Agent - Limited Line Credit	8/7/2000	7/25/2002
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Credit Life & Health	1/21/1999	8/7/2000
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	8/7/2000	3/31/2022
Inactive	Southern Financial Life Insurance Company	300664	Agent - Credit Life & Health	9/26/1998	1/21/1999
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Credit Life & Health	9/13/1994	9/22/1998

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Banta, Zachary Dean	681409	Agent - Limited Line Credit	5/8/2018	4/30/2019
Inactive	Brent, Jerry Logan	372992	Agent - Credit Life & Health	2/1/1994	1/21/1999
Inactive	Brent, Jerry Logan	372992	Agent - Limited Line Credit	1/11/2005	7/31/2009
Inactive	Burckle, William Paul	372558	Agent - Limited Line Credit	1/6/2004	1/31/2012
Inactive	Dunn, Cynthia L	368950	Agent - Credit Life & Health	1/21/1999	8/7/2000
Inactive	Dunn, Cynthia L	368950	Agent - Limited Line Credit	5/8/2018	6/30/2018
Inactive	Foster, David J	341412	Agent - Credit Life & Health	1/21/1999	8/7/2000
Inactive	Foster, David J	341412	Agent - Limited Line Credit	8/7/2000	2/17/2003
Inactive	Johnston, Dave Lee	354708	Agent - Limited Line Credit	1/6/2004	1/11/2005
Active	Kemper, Phillip Nathan	1280955	Agent - Health	2/11/2025
Active	Kemper, Phillip Nathan	1280955	Agent - Life	2/11/2025
Inactive	Long, David W	371316	Agent - Credit Life & Health	1/21/1999	8/7/2000
Inactive	Long, David W	371316	Agent - Limited Line Credit	5/11/2017	3/31/2019
Inactive	Perry, Keith M	323314	Agent - Credit Life & Health	1/21/1999	8/7/2000
Inactive	Perry, Keith M	323314	Agent - Limited Line Credit	8/7/2000	10/31/2011
Inactive	Pryor, Tammy Sue	356415	Agent - Credit Life & Health	1/21/1999	8/7/2000
Inactive	Pryor, Tammy Sue	356415	Agent - Limited Line Credit	8/7/2000	2/28/2022
Inactive	Stafford, Dallas Ray	325537	Agent - Credit Life & Health	1/21/1999	8/7/2000
Inactive	Stafford, Dallas Ray	325537	Agent - Limited Line Credit	8/7/2000	5/22/2008
Inactive	Townsend, Vicki B	344472	Agent - Credit Life & Health	1/21/1999	8/7/2000
Inactive	Townsend, Vicki B	344472	Agent - Limited Line Credit	8/7/2000	2/17/2003
Inactive	Traylor, Darryl	342694	Agent - Credit Life & Health	1/21/1999	8/7/2000
Inactive	Traylor, Darryl	342694	Agent - Limited Line Credit	8/7/2000	2/17/2003
Inactive	Whitaker, Patricia Ann	363868	Agent - Credit Life & Health	1/21/1999	8/7/2000
Inactive	Whitaker, Patricia Ann	363868	Agent - Limited Line Credit	8/7/2000	6/9/2010