DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Bain, Liberty S	DOIID	1295545	NAIC NPN	19055714

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	8/31/2023		9/30/2028
Active	Non Resident	Agent	Property	8/31/2023		9/30/2028
Active	Non Resident	Agent	Casualty	8/31/2023		9/30/2028
* 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	07/15/2026	09/30/2026	08/31/2026	08/31/2026	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Auto-Owners Life Insurance Company	301368	Agent - Life	9/6/2024
Active	Westfield Champion Insurance Company	1054839	Agent - Casualty	3/25/2026
Active	Westfield Champion Insurance Company	1054839	Agent - Property	3/25/2026

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Btj Ins Inc	974534	Agent - Casualty	9/1/2026
Active	Btj Ins Inc	974534	Agent - Life	9/1/2026
Active	Btj Ins Inc	974534	Agent - Property	9/1/2026