DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Pickens, Elisia	DOIID	1130936	NAIC NPN	8059610

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	4/22/2021	7/29/2024
Inactive	Non Resident	Agent	Casualty	4/22/2021	7/29/2024
* 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
Inactive	American Pet Insurance Company, Inc.	301240	Agent - Casualty	7/14/2023	7/24/2023
Inactive	American Pet Insurance Company, Inc.	301240	Agent - Property	7/14/2023	7/24/2023
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	4/27/2021	3/17/2022
Inactive	Bristol West Insurance Company	301655	Agent - Property	4/27/2021	3/17/2022
Inactive	Farmers Insurance Exchange	300336	Agent - Casualty	4/27/2021	3/17/2022
Inactive	Farmers Insurance Exchange	300336	Agent - Property	4/27/2021	3/17/2022
Inactive	Independence American Insurance Company	524747	Agent - Casualty	8/11/2023	7/29/2024
Inactive	Independence American Insurance Company	524747	Agent - Property	8/11/2023	7/29/2024
Inactive	United States Fire Insurance Company	582240	Agent - Casualty	8/8/2022	9/26/2022
Inactive	United States Fire Insurance Company	582240	Agent - Property	8/8/2022	9/26/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fx Insurance Agency, LLC	646184	Agent - Casualty	4/27/2021	3/17/2022
Inactive	Fx Insurance Agency, LLC	646184	Agent - Property	4/27/2021	3/17/2022