DEPARTMENT OF INSURANCE

Affiliations

Name	Ellis, Kenneth Alan	DOIID	692166	NAIC NPN	5940945

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	11/6/2019		6/30/2026
Active	Non Resident	Agent	Property	5/13/2016		6/30/2026
Active	Non Resident	Agent	Casualty	5/13/2016		6/30/2026
Active	Non Resident	Agent	Life	5/13/2016		6/30/2026
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	1/28/2017	1/2/2024
* 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	04/15/2026	06/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACE American Insurance Company	300625	Agent - Casualty	6/22/2021
Active	ACE American Insurance Company	300625	Agent - Property	6/22/2021
Active	ACE Fire Underwriters Insurance Company	301679	Agent - Casualty	6/22/2021
Active	ACE Fire Underwriters Insurance Company	301679	Agent - Property	6/22/2021
Active	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	6/22/2021
Active	ACE Property and Casualty Insurance Company	300520	Agent - Property	6/22/2021
Active	All Savers Insurance Company	301940	Agent - Health	6/17/2024
Active	All Savers Insurance Company	301940	Agent - Life	6/17/2024
Inactive	American Economy Insurance Company	300315	Agent - Casualty	11/8/2019	6/27/2025
Inactive	American Economy Insurance Company	300315	Agent - Property	11/8/2019	6/27/2025
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	1/10/2020
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	1/10/2020
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/8/2020	12/16/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Health	8/8/2020	12/16/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Life	8/8/2020	12/16/2024
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	6/5/2018	7/24/2018
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	6/5/2018	7/24/2018
Active	BusinessFirst Insurance Company	722488	Agent - Casualty	11/5/2020
Inactive	ClearPath Insurance Company	979815	Agent - Casualty	2/29/2024	7/23/2024
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	11/21/2011	6/30/2012
Inactive	Delta Dental of Kentucky, Inc.	301166	Agent - Health	1/23/2009	2/8/2011
Inactive	Dental Choice, Inc.	301702	Agent - Health	1/23/2009	2/8/2011
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	11/21/2011	6/30/2012
Inactive	Erie Family Life Insurance Company	301400	Agent - Health	11/7/2019	12/8/2023
Inactive	Erie Family Life Insurance Company	301400	Agent - Life	5/20/2016	12/8/2023
Inactive	Erie Insurance Company	300230	Agent - Casualty	5/20/2016	12/8/2023
Inactive	Erie Insurance Company	300230	Agent - Property	5/20/2016	12/8/2023
Inactive	Erie Insurance Company of New York	789916	Agent - Casualty	5/20/2016	12/8/2023
Inactive	Erie Insurance Company of New York	789916	Agent - Property	5/20/2016	12/8/2023
Inactive	Erie Insurance Exchange	300789	Agent - Casualty	5/20/2016	12/8/2023
Inactive	Erie Insurance Exchange	300789	Agent - Property	5/20/2016	12/8/2023
Inactive	Erie Insurance Property & Casualty Company	789942	Agent - Casualty	5/20/2016	12/8/2023
Inactive	Erie Insurance Property & Casualty Company	789942	Agent - Property	5/20/2016	12/8/2023
Inactive	Flagship City Insurance Company	789965	Agent - Casualty	5/20/2016	12/8/2023
Inactive	Flagship City Insurance Company	789965	Agent - Property	5/20/2016	12/8/2023
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/21/2011	6/30/2012
Inactive	Humana Insurance Company	301104	Agent - Health	11/21/2011	6/30/2012
Inactive	Humana Insurance Company	301104	Agent - Life	11/21/2011	6/30/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/21/2011	6/30/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/21/2011	6/30/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	11/21/2011	6/30/2012
Inactive	Kanawha Insurance Company	300127	Agent - Life	11/21/2011	6/30/2012
Inactive	Meridian Security Insurance Company	300423	Agent - Casualty	10/4/2017	12/16/2021
Inactive	Meridian Security Insurance Company	300423	Agent - Property	10/4/2017	12/16/2021
Active	Milbank Insurance Company	925185	Agent - Casualty	11/8/2017
Active	Milbank Insurance Company	925185	Agent - Property	11/8/2017
Active	Palomar Specialty Insurance Company	841441	Agent - Casualty	9/18/2024
Active	Palomar Specialty Insurance Company	841441	Agent - Property	9/18/2024
Active	Philadelphia Indemnity Insurance Company	301221	Agent - Casualty	6/15/2022
Active	Philadelphia Indemnity Insurance Company	301221	Agent - Health	6/15/2022
Active	Philadelphia Indemnity Insurance Company	301221	Agent - Property	6/15/2022
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	7/7/2016
Active	Progressive Casualty Insurance Company	300696	Agent - Property	7/7/2016
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	1/26/2017	6/27/2025
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	1/26/2017	6/27/2025
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	1/26/2017	6/27/2025
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	1/26/2017	6/27/2025
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	6/5/2018	7/24/2018
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	6/5/2018	7/24/2018
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - Casualty	10/4/2017	12/16/2021
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - Property	10/4/2017	12/16/2021
Active	State Automobile Mutual Insurance Company	301824	Agent - Casualty	10/4/2017
Active	State Automobile Mutual Insurance Company	301824	Agent - Property	10/4/2017
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	6/5/2018	7/24/2018
Inactive	The Phoenix Insurance Company	301502	Agent - Property	6/5/2018	7/24/2018
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	6/5/2018	7/24/2018
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	6/5/2018	7/24/2018
Inactive	Trexis Insurance Corporation	599902	Agent - Casualty	2/7/2019	2/7/2024
Inactive	Trexis One Insurance Corporation	684197	Agent - Casualty	2/7/2019	2/7/2024
Active	United Financial Casualty Company	301886	Agent - Casualty	7/7/2016
Active	United Financial Casualty Company	301886	Agent - Property	7/7/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/11/2022	12/17/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	9/30/2016	12/17/2024
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	12/29/2020	12/17/2024
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	12/29/2020	12/17/2024
Active	Western Surety Company	300283	Agent - Casualty	12/6/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ellis Insurance Agency	990603	Agent - Health	11/6/2019	3/31/2024
Inactive	Ellis Insurance Agency	990603	Agent - Life	4/9/2018	3/31/2024
Inactive	Ellis Insurance Agency	990603	Agent - Property	4/9/2018	3/31/2024
Inactive	Ellis Insurance Agency	990603	Agent - Casualty	4/9/2018	3/31/2024
Inactive	Ellis Insurance Agency	990603	Surplus Lines Broker - Not Applicable	4/9/2018	1/2/2024