DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Bullen, William Keith	DOIID	320187	NAIC NPN	7167830

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Property	8/15/2000	9/11/2001
Inactive	Resident	Agent	General Lines	10/25/1967	8/15/2000
Inactive	Resident	Agent	Life	10/25/1967	9/11/2001
Inactive	Resident	Agent	Casualty	8/15/2000	9/11/2001
Inactive	Resident	Agent	Health	10/25/1967	9/11/2001
* 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	3/23/1994	12/3/1998
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	10/25/1967	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	FB Insurance Company (The)	301763	Agent - Casualty	8/15/2000	9/11/2001
Inactive	FB Insurance Company (The)	301763	Agent - General Lines	8/28/1969	8/15/2000
Inactive	FB Insurance Company (The)	301763	Agent - Property	8/15/2000	9/11/2001
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	8/15/2000	9/11/2001
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - General Lines	10/25/1967	8/15/2000
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	8/15/2000	9/11/2001
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	10/25/1967	9/11/2001
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	10/25/1967	9/11/2001

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - General Lines	8/15/1988	8/15/2000
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	8/15/1988	8/31/2001
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	8/15/1988	8/31/2001
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	8/15/2000	8/31/2001
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	8/15/2000	8/31/2001