DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	York Funeral Home Inc.	DOIID	539499	NAIC NPN	7223405

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	10/15/2001	3/31/2021
* 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	Cincinnati Equitable Life Insurance Company	641870	Agent - Life	3/10/2009	3/13/2012
Inactive	Columbian Life Insurance Company	300810	Agent - Life	2/25/2002	7/21/2004
Inactive	Forethought Life Insurance Company	301407	Agent - Life	7/25/2002	12/12/2011
Inactive	Homesteaders Life Company	300836	Agent - Life	7/7/2008	11/6/2013
Inactive	Kentucky Funeral Directors Life Insurance Company	532905	Agent - Life	10/15/2001	1/31/2007

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Kelly, Jim D	539049	Agent - Life	2/4/2004	4/30/2006
Inactive	Morris, Marsha Kay	343249	Agent - Life	2/4/2004	8/28/2006
Inactive	York, Keith Scott	312286	Agent - Life	1/7/2015	3/31/2021
Inactive	York, Kelvin Ray	314173	Agent - Life	10/15/2001	11/1/2014