DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Douglas, Kelly Mcindoo	DOIID	1070070	NAIC NPN	19390847

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Casualty	1/21/2020		1/31/2026
Active	Resident	Agent	Life	2/4/2020		1/31/2026
Active	Resident	Agent	Health	2/6/2020		1/31/2026
Active	Resident	Agent	Property	1/21/2020		1/31/2026
* 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
Active	American Modern Home Insurance Company	300791	Agent - Casualty	1/26/2023
Active	American Modern Home Insurance Company	300791	Agent - Property	1/26/2023
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	5/30/2020	10/5/2021
Active	Bristol West Insurance Company	301655	Agent - Casualty	6/8/2020
Active	Bristol West Insurance Company	301655	Agent - Property	6/8/2020
Active	Dairyland Insurance Company	301370	Agent - Casualty	7/23/2020
Active	Dairyland Insurance Company	301370	Agent - Property	7/23/2020
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/8/2020
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/8/2020
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	2/24/2020
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Health	2/24/2020
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	2/24/2020
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	2/22/2021
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	2/22/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Designated Agent Company Inc.	681257	Agent - Life
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/1/2020	10/5/2021
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	5/27/2020
Denied	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	5/27/2020
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	5/27/2020