DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Busam, Priscilla	DOIID	320403	NAIC NPN	7167966

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	General Lines	7/31/1997	8/15/2000
Inactive	Resident	Agent	Health	12/10/2001	2/28/2021
Inactive	Resident	Agent	Property	12/10/2001	2/28/2021
Inactive	Resident	Agent	Casualty	12/10/2001	2/28/2021
Inactive	Resident	Agent	Life	12/10/2001	2/28/2021
* 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	Humana Insurance Company of Kentucky	300826	Agent - Health	11/9/2005	9/7/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/9/2005	9/7/2012
Inactive	State Farm Fire and Casualty Company	301809	Agent - Casualty	12/10/2001	4/12/2019
Inactive	State Farm Fire and Casualty Company	301809	Agent - General Lines	7/31/1997	8/15/2000
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	12/10/2001	4/12/2019
Inactive	State Farm General Insurance Company	301122	Agent - Casualty	12/10/2001	11/19/2010
Inactive	State Farm General Insurance Company	301122	Agent - General Lines	7/31/1997	8/15/2000
Inactive	State Farm General Insurance Company	301122	Agent - Property	12/10/2001	11/19/2010
Inactive	State Farm Life Insurance Company	301810	Agent - Life	12/10/2001	4/12/2019
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	12/10/2001	4/12/2019
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - General Lines	7/31/1997	8/15/2000
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Health	12/10/2001	4/12/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Tom Thompson Insurance Agency Inc.	398087	Agent - Life	2/24/2003	4/12/2019
Inactive	Tom Thompson Insurance Agency Inc.	398087	Agent - Health	2/24/2003	4/12/2019
Inactive	Tom Thompson Insurance Agency Inc.	398087	Agent - Property	2/24/2003	4/12/2019
Inactive	Tom Thompson Insurance Agency Inc.	398087	Agent - Casualty	2/24/2003	4/12/2019