DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Grundy IV, James C	DOIID	1205491	NAIC NPN	20335088

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Casualty	5/26/2022		7/31/2025
Active	Resident	Agent	Health	6/29/2022		7/31/2025
Active	Resident	Agent	Life	7/13/2022		7/31/2025
Active	Resident	Agent	Property	6/1/2022		7/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	05/15/2025	07/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Modern Home Insurance Company	300791	Agent - Casualty	1/26/2023
Active	American Modern Home Insurance Company	300791	Agent - Property	1/26/2023
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/13/2023
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	4/13/2023	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	4/13/2023
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	12/22/2022	12/20/2024
Inactive	Bristol West Insurance Company	301655	Agent - Property	12/22/2022	12/20/2024
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	4/13/2023
Active	Dairyland Insurance Company	301370	Agent - Casualty	4/12/2023
Active	Dairyland Insurance Company	301370	Agent - Property	4/12/2023
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	12/22/2022
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	12/22/2022
Active	Gerber Life Insurance Company	300529	Agent - Health	3/30/2023
Active	Gerber Life Insurance Company	300529	Agent - Life	3/30/2023
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	12/1/2022
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Health	12/1/2022
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	12/1/2022
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	12/1/2022
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	12/1/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Jay Grundy Insurance, LLC	1347192	Agent - Casualty	6/26/2024
Active	Jay Grundy Insurance, LLC	1347192	Agent - Property	6/26/2024
Active	Jay Grundy Insurance, LLC	1347192	Agent - Life	6/26/2024
Active	Jay Grundy Insurance, LLC	1347192	Agent - Health	6/26/2024
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	12/1/2022
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	12/1/2022
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	12/1/2022
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	12/1/2022