PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameMedassets Insurance Solutions, LLCDOIID744290NAIC NPN15974565
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife4/20/2018 3/31/2026
ActiveNon ResidentAgentHealth4/20/2018 3/31/2026
InactiveNon ResidentAgentProperty8/3/20159/8/2016 
InactiveNon ResidentAgentCasualty8/3/20159/8/2016 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202603/31/2026   
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveHerndon, Jamon Dale 954549Agent - Health5/26/2022 
ActiveHerndon, Jamon Dale 954549Agent - Life5/26/2022 
InactiveRoach, Kelly H 741364Agent - Casualty8/3/20159/8/2016
InactiveRoach, Kelly H 741364Agent - Health12/14/20109/8/2016
InactiveRoach, Kelly H 741364Agent - Life12/14/20109/8/2016
InactiveRoach, Kelly H 741364Agent - Property8/3/20159/8/2016
InactiveSmith, David W 593700Agent - Health4/20/20185/26/2022
InactiveSmith, David W 593700Agent - Life4/20/20185/26/2022
InactiveSpiers, Jeffrey M 1056532Agent - Health10/18/201912/14/2020
DeniedSpiers, Jeffrey M 1056532Agent - Life  
InactiveVann, Becky A 926154Agent - Health5/7/20205/26/2022
InactiveVann, Becky A 926154Agent - Life5/7/20205/26/2022

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