DEPARTMENT OF INSURANCE

Affiliations

Name	Nezbeth, Kelly Brooke	DOIID	331639	NAIC NPN	7178979

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Casualty	4/24/2007		1/31/2025
Active	Resident	Agent	Health	7/14/2009		1/31/2025
Active	Resident	Agent	Property	4/24/2007		1/31/2025
Denied	Resident	Agent	Life
Inactive	Resident	Agent	General Lines	10/8/1999	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	11/15/2024	01/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	8/18/2021
Active	ACUITY, A Mutual Insurance Company	300095	Agent - Property	8/18/2021
Active	American Modern Home Insurance Company	300791	Agent - Casualty	1/26/2023
Active	American Modern Home Insurance Company	300791	Agent - Property	1/26/2023
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Casualty	5/1/2011	11/21/2014
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Property	5/1/2011	11/21/2014
Active	Auto-Owners Insurance Company	301480	Agent - Casualty	1/23/2024
Active	Auto-Owners Insurance Company	301480	Agent - Property	1/23/2024
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	4/2/2020	6/9/2021
Inactive	Bristol West Insurance Company	301655	Agent - Property	4/2/2020	6/9/2021
Active	Cincinnati Casualty Company (The)	300308	Agent - Casualty	10/15/2021
Active	Cincinnati Casualty Company (The)	300308	Agent - Property	10/15/2021
Active	Cincinnati Indemnity Company (The)	301566	Agent - Casualty	10/15/2021
Active	Cincinnati Indemnity Company (The)	301566	Agent - Property	10/15/2021
Active	Cincinnati Insurance Company	301298	Agent - Casualty	10/15/2021
Active	Cincinnati Insurance Company	301298	Agent - Property	10/15/2021
Active	ClearPath Insurance Company	979815	Agent - Casualty	3/5/2024
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/9/2009	8/20/2012
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	4/2/2020	6/9/2021
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	4/2/2020	6/9/2021
Inactive	GuideOne Elite Insurance Company	300490	Agent - Casualty	8/15/2000	12/11/2002
Inactive	GuideOne Elite Insurance Company	300490	Agent - General Lines	10/8/1999	8/15/2000
Inactive	GuideOne Elite Insurance Company	300490	Agent - Property	8/15/2000	12/11/2002
Inactive	GuideOne Insurance Company	301794	Agent - Casualty	8/15/2000	12/11/2002
Inactive	GuideOne Insurance Company	301794	Agent - General Lines	10/8/1999	8/15/2000
Inactive	GuideOne Insurance Company	301794	Agent - Property	8/15/2000	12/11/2002
Inactive	GuideOne Specialty Insurance Company	300278	Agent - Casualty	8/15/2000	12/11/2002
Inactive	GuideOne Specialty Insurance Company	300278	Agent - General Lines	10/8/1999	8/15/2000
Inactive	GuideOne Specialty Insurance Company	300278	Agent - Property	8/15/2000	12/11/2002
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	12/13/2007	11/5/2008
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	12/13/2007	11/5/2008
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	12/13/2007	11/11/2009
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	12/13/2007	11/11/2009
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	12/13/2007	11/11/2009
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	12/13/2007	11/11/2009
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	12/13/2007	11/11/2009
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	12/13/2007	11/11/2009
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	12/13/2007	11/11/2009
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	12/13/2007	11/11/2009
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/9/2009	8/20/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/9/2009	8/20/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	5/7/2010	8/20/2012
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	12/19/2016	10/14/2021
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Health	12/19/2016	10/14/2021
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	12/19/2016	10/14/2021
Active	Owners Insurance Company	300796	Agent - Casualty	1/23/2024
Active	Owners Insurance Company	300796	Agent - Property	1/23/2024
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	12/13/2007	11/11/2009
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	12/13/2007	11/11/2009
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	12/13/2007	11/11/2009
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	12/13/2007	11/11/2009

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 - Property	12/20/2016	10/14/2021
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	12/20/2016	10/14/2021
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	12/20/2016	10/14/2021
Inactive	Shively Insurance Agency, Inc	398215	Agent - Property	1/7/2010	11/21/2014
Inactive	Shively Insurance Agency, Inc	398215	Agent - Casualty	1/7/2010	11/21/2014
Inactive	Shively Insurance Agency, Inc	398215	Agent - Health	12/17/2009	8/20/2012
Active	Sterling Thompson Company	935239	Agent - Property	8/12/2021
Active	Sterling Thompson Company	935239	Agent - Casualty	8/12/2021
Inactive	Sterling Thompson Company	935239	Agent - Health	8/12/2021	10/14/2021