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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	02/15/2026	04/30/2026

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
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/31/2025
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
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	2/11/2008	12/20/2024
Inactive	Bristol West Insurance Company	301655	Agent - Property	2/11/2008	12/20/2024
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
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/12/2013	2/13/2025
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/12/2013	2/13/2025
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