DEPARTMENT OF INSURANCE

Affiliations

Name	Storm, Donevon James Derek	DOIID	317664	NAIC NPN	7165372

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Casualty	8/15/2000		8/31/2025
Active	Resident	Agent	Life	4/10/1997		8/31/2025
Active	Resident	Agent	Health	4/10/1997		8/31/2025
Active	Resident	Agent	Property	8/15/2000		8/31/2025
Inactive	Resident	Agent	General Lines	4/10/1997	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	06/15/2025	08/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Agri General Insurance Company	300914	Agent - General Lines	4/6/1998	12/27/1999
Active	American Heritage Life Insurance Company	300272	Agent - Health	2/4/2009
Active	American Heritage Life Insurance Company	300272	Agent - Life	2/4/2009
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	1/17/2019
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	1/17/2019
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	8/3/2015	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	8/3/2015	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	5/23/2016	8/20/2020
Inactive	American Southern Home Insurance Company	626276	Agent - Property	5/23/2016	8/20/2020
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/31/2025
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/12/2021
Inactive	Assurity Life Insurance Company	301099	Agent - Health	7/14/2005	1/29/2009
Inactive	Assurity Life Insurance Company	301099	Agent - Life	7/14/2005	1/29/2009
Active	Berkshire Life Insurance Company of America	300983	Agent - Health	6/1/2005
Active	Berkshire Life Insurance Company of America	300983	Agent - Life	6/1/2005
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	8/25/2020	12/20/2024
Inactive	Bristol West Insurance Company	301655	Agent - Property	8/25/2020	12/20/2024
Inactive	C.M. Life Insurance Company	301335	Agent - Health	6/10/2005	11/12/2012
Inactive	C.M. Life Insurance Company	301335	Agent - Life	6/10/2005	11/12/2012
Active	Dairyland Insurance Company	301370	Agent - Casualty	9/23/2020
Active	Dairyland Insurance Company	301370	Agent - Property	9/23/2020
Active	FB Insurance Company (The)	301763	Agent - Casualty	8/15/2000
Inactive	FB Insurance Company (The)	301763	Agent - General Lines	4/10/1997	8/15/2000
Active	FB Insurance Company (The)	301763	Agent - Property	8/15/2000
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	2/6/2024
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	2/6/2024
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	6/1/2005	10/5/2021
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	6/1/2005	10/5/2021
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	10/25/2005	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	10/25/2005	12/30/2009
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	9/19/2008	6/8/2011
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	4/10/1997	8/15/2000
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	8/15/2000
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	6/10/2005	11/12/2012
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	6/10/2005	11/12/2012
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	4/10/1997
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	4/10/1997
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	5/5/2011	6/26/2017
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	5/5/2011	6/26/2017

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 - Life	12/13/2013	2/17/2025
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/13/2013	2/17/2025
Active	Donevon J. Storm Insurance Inc	620064	Agent - Life	11/14/2005
Active	Donevon J. Storm Insurance Inc	620064	Agent - Health	11/14/2005
Active	Donevon J. Storm Insurance Inc	620064	Agent - Property	11/14/2005
Active	Donevon J. Storm Insurance Inc	620064	Agent - Casualty	11/14/2005
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - General Lines	5/9/1997	8/15/2000
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	5/9/1997
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	5/9/1997
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	Southern Capital Brokerage Co LLC	577403	Agent - Life	5/23/2005	3/31/2007
Inactive	Southern Capital Brokerage Co LLC	577403	Agent - Health	5/23/2005	3/31/2007