DEPARTMENT OF INSURANCE

Affiliations

Name	Fannin, Michael Ray	DOIID	316763	NAIC NPN	7163921

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Property	8/15/2000		4/30/2026
Active	Resident	Agent	Health	6/27/1985		4/30/2026
Active	Resident	Agent	Casualty	8/15/2000		4/30/2026
Active	Resident	Agent	Life	6/27/1985		4/30/2026
Inactive	Resident	Agent	General Lines	6/27/1985	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
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	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	9/13/2019
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	9/13/2019
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	3/27/2017	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	3/27/2017	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	11/23/2015	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	11/23/2015	11/14/2021
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/27/1985	3/31/1998
Inactive	Anthem Life Insurance Company	301209	Agent - Health	4/13/1993	12/31/1998
Inactive	Anthem Life Insurance Company	301209	Agent - Life	4/13/1993	12/31/1998
Inactive	Assurity Life Insurance Company	301099	Agent - Health	3/7/2005	1/22/2009
Inactive	Assurity Life Insurance Company	301099	Agent - Life	3/7/2005	1/22/2009
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	12/5/2003	3/7/2005
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	12/5/2003	3/7/2005
Active	Bristol West Insurance Company	301655	Agent - Casualty	2/11/2008
Active	Bristol West Insurance Company	301655	Agent - Property	2/11/2008
Active	Dairyland Insurance Company	301370	Agent - Casualty	1/6/2012
Active	Dairyland Insurance Company	301370	Agent - Property	1/6/2012
Active	FB Insurance Company (The)	301763	Agent - Casualty	8/15/2000
Inactive	FB Insurance Company (The)	301763	Agent - General Lines	6/27/1985	8/15/2000
Active	FB Insurance Company (The)	301763	Agent - Property	8/15/2000
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	7/6/2004	12/20/2023
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	7/6/2004	12/20/2023
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	12/5/2003	3/7/2005
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	12/5/2003	3/7/2005
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	1/11/2008	11/9/2010
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	1/11/2008	11/9/2010
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	10/24/2005	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	10/24/2005	12/30/2009
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	6/22/2011	4/2/2013
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	9/19/2008	6/8/2011
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	8/15/2000
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - General Lines	6/27/1985	8/15/2000
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	8/15/2000
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	6/27/1985
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	6/27/1985
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	5/2/2011	6/23/2017
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	5/2/2011	6/23/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Designated Agent Company Inc.	681257	Agent - Health	12/12/2013
Active	Designated Agent Company Inc.	681257	Agent - Life	12/12/2013
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - General Lines	8/15/1988	8/15/2000
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	8/15/1988
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	8/15/1988
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	8/15/2000
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	8/15/2000
Inactive	Michael R Fannin Insurance, Inc.	502149	Agent - General Lines	12/31/1999	8/15/2000
Active	Michael R Fannin Insurance, Inc.	502149	Agent - Health	12/31/1999
Active	Michael R Fannin Insurance, Inc.	502149	Agent - Life	12/31/1999
Active	Michael R Fannin Insurance, Inc.	502149	Agent - Property	8/15/2000
Active	Michael R Fannin Insurance, Inc.	502149	Agent - Casualty	8/15/2000
Inactive	Southern Capital Brokerage Co LLC	577403	Agent - Health	9/7/2004	3/31/2007
Inactive	Southern Capital Brokerage Co LLC	577403	Agent - Life	9/7/2004	3/31/2007