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.

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 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
Active	Bristol West Insurance Company	301655	Agent - Casualty	8/25/2020
Active	Bristol West Insurance Company	301655	Agent - Property	8/25/2020
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
Active	Designated Agent Company Inc.	681257	Agent - Life	12/13/2013
Active	Designated Agent Company Inc.	681257	Agent - Health	12/13/2013
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