DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Van Cleve, Virginia	DOIID	309621	NAIC NPN	7159909

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	12/1/2023
Inactive	Resident	Agent	Life	11/20/1997	12/1/2023
Inactive	Resident	Agent	Property	8/15/2000	12/1/2023
Inactive	Resident	Agent	Health	11/16/2000	12/1/2023
Inactive	Resident	Agent	General Lines	6/30/1997	8/15/2000
* 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	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	10/29/2019	3/28/2023
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	10/29/2019	3/28/2023
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	3/30/2007	8/14/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	3/30/2007	8/14/2010
Inactive	Motorists Commercial Mutual Insurance Company	301941	Agent - Casualty	12/4/2020	12/1/2023
Inactive	Motorists Commercial Mutual Insurance Company	301941	Agent - Property	12/4/2020	12/1/2023
Inactive	State Farm Fire and Casualty Company	301809	Agent - Casualty	8/15/2000	8/9/2019
Inactive	State Farm Fire and Casualty Company	301809	Agent - General Lines	6/30/1997	8/15/2000
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	8/15/2000	8/9/2019
Inactive	State Farm General Insurance Company	301122	Agent - Casualty	8/15/2000	11/16/2010
Inactive	State Farm General Insurance Company	301122	Agent - General Lines	6/30/1997	8/15/2000
Inactive	State Farm General Insurance Company	301122	Agent - Property	8/15/2000	11/16/2010
Inactive	State Farm Life Insurance Company	301810	Agent - Life	11/20/1997	8/9/2019
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	8/15/2000	8/9/2019
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - General Lines	6/30/1997	8/15/2000
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Health	11/16/2000	8/9/2019
Inactive	Time Insurance Company	300683	Agent - Health	2/27/2003	6/25/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Houchens Insurance Group, Inc.	637099	Agent - Life
Denied	Houchens Insurance Group, Inc.	637099	Agent - Health
Inactive	Houchens Insurance Group, Inc.	637099	Agent - Property	12/13/2019	3/27/2023
Inactive	Houchens Insurance Group, Inc.	637099	Agent - Casualty	12/13/2019	3/27/2023