DEPARTMENT OF INSURANCE
Affiliations
NameGrass Lake Insurance Agency, Inc.DOIID1108548NAIC NPN19676228
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentCasualty11/2/20202/20/2025 
InactiveNon ResidentAgentLife11/2/20202/20/2025 
InactiveNon ResidentAgentProperty11/2/20202/20/2025 
InactiveNon ResidentAgentHealth11/2/20202/20/2025 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveHarvin, James 500085Agent - Casualty11/2/20202/20/2025
InactiveHarvin, James 500085Agent - Health11/2/20202/20/2025
InactiveHarvin, James 500085Agent - Life11/2/20202/20/2025
InactiveHarvin, James 500085Agent - Property11/2/20202/20/2025

© Commonwealth of Kentucky. All rights reserved.