DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Grigsby, Peggy Ann	DOIID	327524	NAIC NPN	7174628

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Assessment Chapter 299	3/9/1999	12/1/2000
Inactive	Resident	Agent	General Lines	8/4/1995	8/15/2000
Inactive	Resident	Agent	Property	8/15/2000	10/1/2009
Inactive	Resident	Agent	Casualty	8/15/2000	10/1/2009
* 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	American Economy Insurance Company	300315	Agent - General Lines	8/4/1995	4/27/1998
Inactive	American States Insurance Company	301230	Agent - General Lines	8/4/1995	4/27/1998
Inactive	American States Preferred Insurance Company	300609	Agent - General Lines	8/4/1995	4/27/1998
Inactive	First Mutual Insurance Company	301258	Agent - Assessment Chapter 299	3/9/1999	12/1/2000
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/21/2004	10/1/2009
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/21/2004	10/1/2009
Inactive	Kentucky National Insurance Company	301625	Agent - Casualty	9/21/2007	10/1/2009
Inactive	Kentucky National Insurance Company	301625	Agent - General Lines	4/17/1998	8/15/2000
Inactive	Kentucky National Insurance Company	301625	Agent - Property	9/21/2007	10/1/2009
Inactive	Old Republic Insurance Company	301225	Agent - Casualty	12/26/2007	8/19/2008
Inactive	Omni Insurance Company	301545	Agent - General Lines	2/23/1998	3/31/2000
Inactive	Western Surety Company	300283	Agent - Casualty	8/15/2000	10/29/2001
Inactive	Western Surety Company	300283	Agent - General Lines	5/22/1998	8/15/2000

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acordia of Eastern Kentucky-Pikeville Inc.	398199	Agent - General Lines	8/14/1995	9/20/1997
Inactive	Fsb Ins Agency Inc	676948	Agent - Property	4/28/2008	10/1/2009
Inactive	Fsb Ins Agency Inc	676948	Agent - Casualty	4/28/2008	10/1/2009
Inactive	Mountain Valley Insurance of Hazard, Inc.	398965	Agent - Property	3/23/2005	10/1/2009
Inactive	Mountain Valley Insurance of Hazard, Inc.	398965	Agent - Casualty	3/23/2005	10/1/2009