DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Grissom, Phillip Howard	DOIID	303199	NAIC NPN	7157114

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Casualty	8/15/2000	10/4/2001
Inactive	Resident	Agent	Life	8/13/1963	10/4/2001
Inactive	Resident	Agent	Health	8/13/1963	10/4/2001
Inactive	Resident	Agent	General Lines	4/14/1964	8/15/2000
Inactive	Resident	Agent	Property	8/15/2000	10/4/2001
* 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	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/10/1963	3/31/1998
Inactive	FB Insurance Company (The)	301763	Agent - Casualty	8/15/2000	10/4/2001
Inactive	FB Insurance Company (The)	301763	Agent - General Lines	8/28/1969	8/15/2000
Inactive	FB Insurance Company (The)	301763	Agent - Property	8/15/2000	10/4/2001
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	8/15/2000	10/4/2001
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - General Lines	4/14/1964	8/15/2000
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	8/15/2000	10/4/2001
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	8/13/1963	10/4/2001
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	8/13/1963	10/4/2001

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - General Lines	8/15/1988	8/15/2000
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	8/15/1988	10/4/2001
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	8/15/1988	10/4/2001
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	8/15/2000	10/4/2001
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	8/15/2000	10/4/2001