DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Stiller, Holly Ann	DOIID	564083	NAIC NPN	7567864

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	3/25/2003	8/6/2006
Inactive	Resident	Agent	Life	4/15/2003	8/6/2006
Inactive	Resident	Agent	Limited Line Credit	2/3/2003	8/6/2006
* 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 Bankers Insurance Company of Florida	300360	Agent - Limited Line Credit	9/9/2003	11/19/2004
Inactive	Augustar Life Insurance Company	301816	Agent - Life	7/29/2005	8/6/2006
Inactive	Centurion Casualty Company	301715	Agent - Limited Line Credit	2/3/2003	1/19/2005
Inactive	Everlake Life Insurance Company	300873	Agent - Life	4/19/2005	8/6/2006
Inactive	Lantern Insurance Company	300577	Agent - Limited Line Credit	6/17/2003	1/19/2005
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	7/22/2004	8/6/2006
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Life	7/19/2004	8/6/2006
Inactive	Old Republic Life Insurance Company	301214	Agent - Health	4/29/2003	8/15/2003
Inactive	Protective Life Insurance Company of Kentucky	300663	Agent - Health	6/12/2003	7/26/2005
Inactive	Protective Life Insurance Company of Kentucky	300663	Agent - Life	6/12/2003	7/26/2005
Inactive	Western National Life Insurance Company	300461	Agent - Life	2/18/2005	8/6/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	National City Insurance Group Inc.	399045	Agent - Life	8/13/2004	8/6/2006