DEPARTMENT OF INSURANCE

Affiliations

Name	Dossett, Cyrus	DOIID	1210100	NAIC NPN	20360700

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Casualty	7/26/2022	3/31/2025
Active	Resident	Agent	Property	7/26/2022	3/31/2025
Active	Resident	Agent	Life	6/21/2022	3/31/2025
Active	Resident	Agent	Health	7/7/2022	3/31/2025
* 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	01/15/2025	03/31/2025

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	8/10/2022
Active	American Modern Home Insurance Company	300791	Agent - Property	8/10/2022
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	8/3/2022
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	8/3/2022
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	7/26/2022
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	7/26/2022
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	7/26/2022
Active	Bristol West Insurance Company	301655	Agent - Casualty	12/7/2023
Active	Bristol West Insurance Company	301655	Agent - Property	12/7/2023
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	7/26/2022
Active	Dairyland Insurance Company	301370	Agent - Casualty	11/30/2023
Active	Dairyland Insurance Company	301370	Agent - Property	11/30/2023
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	12/7/2023
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	12/7/2023
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	8/1/2022
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Health	8/1/2022
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	8/1/2022
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	8/1/2022
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	8/1/2022
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	3/6/2023	1/22/2024
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	3/6/2023	1/22/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	8/1/2022
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	8/1/2022
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	7/26/2022
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	8/1/2022