DEPARTMENT OF INSURANCE
Affiliations
NameEmployee Benefit/Risk Management Services LLCDOIID1184425NAIC NPN20199317
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentCasualty1/24/2022 3/31/2026
ActiveNon ResidentAgentLife1/24/2022 3/31/2026
ActiveNon ResidentAgentProperty1/24/2022 3/31/2026
ActiveNon ResidentAgentHealth1/24/2022 3/31/2026
* 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
PendingHitchings, Brent James 1322269Agent - Health  
PendingHitchings, Brent James 1322269Agent - Life  
InactiveKolenda, Courtney Lynne 1022910Agent - Casualty1/24/20226/5/2025
InactiveKolenda, Courtney Lynne 1022910Agent - Health1/24/20226/5/2025
InactiveKolenda, Courtney Lynne 1022910Agent - Life1/24/20226/5/2025
InactiveKolenda, Courtney Lynne 1022910Agent - Property1/24/20226/5/2025
InactiveKubik, Jeffery J 321007Agent - Health6/24/202212/12/2024
InactiveKubik, Jeffery J 321007Agent - Life6/24/202212/12/2024
ActiveNelson, John Jeffrey 830296Agent - Casualty6/5/2025 
ActiveNelson, John Jeffrey 830296Agent - Health6/5/2025 
ActiveNelson, John Jeffrey 830296Agent - Life6/5/2025 
ActiveNelson, John Jeffrey 830296Agent - Property6/5/2025 

© Commonwealth of Kentucky. All rights reserved.