DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Jack Williams Insurance Agency, Inc.	DOIID	557075	NAIC NPN	7441879

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	9/23/2002		3/31/2026
Active	Resident	Agent	Casualty	9/23/2002		3/31/2026
Active	Resident	Agent	Property	9/23/2002		3/31/2026
Active	Resident	Agent	Health	9/23/2002		3/31/2026
* 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	Humana Insurance Company of Kentucky	300826	Agent - Health	11/29/2005	8/14/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/29/2005	8/14/2010
Active	State Farm Fire and Casualty Company	301809	Agent - Casualty	9/23/2002
Active	State Farm Fire and Casualty Company	301809	Agent - Property	9/23/2002
Inactive	State Farm General Insurance Company	301122	Agent - Casualty	9/23/2002	11/16/2010
Inactive	State Farm General Insurance Company	301122	Agent - Property	9/23/2002	11/16/2010
Active	State Farm Life Insurance Company	301810	Agent - Life	9/23/2002
Active	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	9/23/2002
Active	State Farm Mutual Automobile Insurance Company	301732	Agent - Health	9/23/2002

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Brown, Julia Kristine	335088	Agent - Casualty	9/23/2002	10/5/2004
Inactive	Brown, Julia Kristine	335088	Agent - Health	9/23/2002	10/5/2004
Inactive	Brown, Julia Kristine	335088	Agent - Life	9/23/2002	10/5/2004
Inactive	Brown, Julia Kristine	335088	Agent - Property	9/23/2002	10/5/2004
Active	Harlow, Jacqueline Rena	372130	Agent - Casualty	9/23/2002
Active	Harlow, Jacqueline Rena	372130	Agent - Health	9/23/2002
Active	Harlow, Jacqueline Rena	372130	Agent - Life	9/23/2002
Active	Harlow, Jacqueline Rena	372130	Agent - Property	9/23/2002
Active	White, Jody Lynn	613284	Agent - Casualty	1/19/2007
Active	White, Jody Lynn	613284	Agent - Property	1/19/2007
Active	Williams, Jack Peal	390829	Agent - Casualty	9/23/2002
Active	Williams, Jack Peal	390829	Agent - Health	9/23/2002
Active	Williams, Jack Peal	390829	Agent - Life	9/23/2002
Active	Williams, Jack Peal	390829	Agent - Property	9/23/2002