DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Evan Chrisman Ins LLC	DOIID	1122093	NAIC NPN	19814633

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	2/25/2021		3/31/2025
Active	Resident	Agent	Casualty	2/25/2021		3/31/2025
Active	Resident	Agent	Health	2/25/2021		3/31/2025
Active	Resident	Agent	Property	2/25/2021		3/31/2025
* 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	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	4/5/2021
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Health	4/5/2021
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	4/5/2021
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	4/5/2021
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	4/5/2021

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Chrisman, Evan	1050677	Agent - Casualty	2/25/2021
Active	Chrisman, Evan	1050677	Agent - Health	2/25/2021
Active	Chrisman, Evan	1050677	Agent - Life	2/25/2021
Active	Chrisman, Evan	1050677	Agent - Property	2/25/2021