DEPARTMENT OF INSURANCE
Affiliations
NameSimic, David DOIID1128204NAIC NPN18387856
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentPersonal Lines4/6/2021 10/31/2024
* 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
Agent08/15/202410/31/2024   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveBristol West Insurance Company301655Agent - Personal Lines4/14/2021 
ActiveFarmers Insurance Exchange300336Agent - Personal Lines4/14/2021 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Personal Lines7/15/2022 
ActiveForemost Property and Casualty Insurance Company300871Agent - Personal Lines7/15/2022 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveFx Insurance Agency, LLC646184Agent - Personal Lines4/15/2021 

© Commonwealth of Kentucky. All rights reserved.