DEPARTMENT OF INSURANCE

Affiliations

Name	Coubert, Kimberly Ann	DOIID	334385	NAIC NPN	7183445

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Casualty	4/20/2018		1/31/2026
Active	Resident	Agent	Property	4/20/2018		1/31/2026
Active	Resident	Agent	Life	4/20/2018		1/31/2026
Inactive	Resident	Agent	General Lines	12/17/1999	8/15/2000
Inactive	Resident	Agent	Health	7/20/2004	1/31/2018
* 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	11/15/2025	01/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Allstate Indemnity Company	300778	Agent - Casualty	4/28/2023
Active	Allstate Indemnity Company	300778	Agent - Property	4/28/2023
Active	Allstate Insurance Company	300773	Agent - Casualty	4/28/2023
Active	Allstate Insurance Company	300773	Agent - Property	4/28/2023
Active	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	4/28/2023
Active	Allstate Property and Casualty Insurance Company	300593	Agent - Property	4/28/2023
Active	Allstate Vehicle & Property Insurance Company	301429	Agent - Casualty	4/28/2023
Active	Allstate Vehicle & Property Insurance Company	301429	Agent - Property	4/28/2023
Inactive	American Economy Insurance Company	300315	Agent - Casualty	11/8/2019	6/9/2023
Inactive	American Economy Insurance Company	300315	Agent - Property	11/8/2019	6/9/2023
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	8/9/2004	1/4/2013
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	8/9/2004	1/4/2013
Active	Auto-Owners Insurance Company	301480	Agent - Casualty	5/10/2023
Active	Auto-Owners Insurance Company	301480	Agent - Property	5/10/2023
Active	Auto-Owners Life Insurance Company	301368	Agent - Life	9/8/2023
Active	Cincinnati Casualty Company (The)	300308	Agent - Casualty	5/4/2018
Active	Cincinnati Casualty Company (The)	300308	Agent - Property	5/4/2018
Active	Cincinnati Indemnity Company (The)	301566	Agent - Casualty	5/4/2018
Active	Cincinnati Indemnity Company (The)	301566	Agent - Property	5/4/2018
Active	Cincinnati Insurance Company	301298	Agent - Casualty	5/4/2018
Active	Cincinnati Insurance Company	301298	Agent - Property	5/4/2018
Inactive	Countryway Insurance Company	300809	Agent - Casualty	4/26/2018	9/6/2023
Inactive	Countryway Insurance Company	300809	Agent - Property	4/26/2018	9/6/2023
Active	Dairyland Insurance Company	301370	Agent - Casualty	10/25/2023
Active	Dairyland Insurance Company	301370	Agent - Property	10/25/2023
Inactive	EMC National Life Company	300388	Agent - Health	10/22/2008	1/31/2018
Inactive	EMC National Life Company	300388	Agent - Life	10/22/2008	1/31/2018
Inactive	EMC Property & Casualty Company	955217	Agent - Casualty	5/12/2021	8/14/2023
Inactive	EMC Property & Casualty Company	955217	Agent - Property	5/12/2021	8/14/2023
Inactive	EMCASCO Insurance Company	842790	Agent - Casualty	4/25/2018	8/14/2023
Inactive	EMCASCO Insurance Company	842790	Agent - Property	4/25/2018	8/14/2023
Inactive	Employers Mutual Casualty Company	300202	Agent - Casualty	4/25/2018	8/14/2023
Inactive	Employers Mutual Casualty Company	300202	Agent - Property	4/25/2018	8/14/2023
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	5/1/2018	10/3/2024
Inactive	Encompass Indemnity Company	546376	Agent - Property	5/1/2018	10/3/2024
Inactive	Encompass Insurance Company of America	556578	Agent - Casualty	5/1/2018	10/3/2024
Inactive	Encompass Insurance Company of America	556578	Agent - Property	5/1/2018	10/3/2024
Active	Erie Family Life Insurance Company	301400	Agent - Life	10/24/2022
Active	Erie Insurance Company	300230	Agent - Casualty	10/24/2022
Active	Erie Insurance Company	300230	Agent - Property	10/24/2022
Active	Erie Insurance Exchange	300789	Agent - Casualty	10/24/2022
Active	Erie Insurance Exchange	300789	Agent - Property	10/24/2022
Inactive	Everlake Life Insurance Company	300873	Agent - Life	12/18/2000	8/8/2008
Inactive	Farmers Casualty Insurance Company	301616	Agent - Casualty	4/4/2013	12/30/2013
Inactive	Farmers Casualty Insurance Company	301616	Agent - Property	4/4/2013	12/30/2013
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Casualty	4/4/2013	12/30/2013
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Property	4/4/2013	12/30/2013
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	5/2/2018
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Property	5/2/2018
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	4/26/2018
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	4/26/2018
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	4/26/2018	8/29/2018
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	4/26/2018	8/29/2018
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	4/26/2018	8/29/2018
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	4/26/2018	8/29/2018
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Casualty	1/26/2009	12/15/2017
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Property	1/26/2009	12/15/2017
Inactive	Kentucky National Insurance Company	301625	Agent - Casualty	11/13/2008	12/31/2015
Inactive	Kentucky National Insurance Company	301625	Agent - Property	11/13/2008	12/31/2015
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	8/10/2004	8/8/2008
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	8/10/2004	8/8/2008
Inactive	MICO Insurance Company	301664	Agent - Casualty	7/24/2008	12/13/2011
Inactive	MICO Insurance Company	301664	Agent - Property	7/24/2008	12/13/2011
Inactive	Metropolitan General Insurance Company	300709	Agent - Casualty	4/4/2013	12/30/2013
Inactive	Metropolitan General Insurance Company	300709	Agent - Property	4/4/2013	12/30/2013
Active	Motorists Commercial Mutual Insurance Company	301941	Agent - Casualty	5/9/2019
Active	Motorists Commercial Mutual Insurance Company	301941	Agent - Property	5/9/2019
Inactive	Motorists Mutual Insurance Company	300963	Agent - Casualty	7/24/2008	1/31/2018
Inactive	Motorists Mutual Insurance Company	300963	Agent - Property	7/24/2008	1/31/2018
Inactive	Old Guard Insurance Company	533854	Agent - Casualty	6/2/2021	6/11/2021
Inactive	Old Guard Insurance Company	533854	Agent - Property	6/2/2021	6/11/2021
Active	Owners Insurance Company	300796	Agent - Casualty	5/10/2023
Active	Owners Insurance Company	300796	Agent - Property	5/10/2023
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	12/16/2022
Active	Progressive Casualty Insurance Company	300696	Agent - Property	12/16/2022
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	4/30/2018	6/9/2023
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	4/30/2018	6/9/2023
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	4/30/2018	6/9/2023
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	4/30/2018	6/9/2023
Inactive	State Farm Fire and Casualty Company	301809	Agent - General Lines	12/17/1999	8/15/2000
Inactive	State Farm General Insurance Company	301122	Agent - General Lines	12/17/1999	8/15/2000
Inactive	State Farm Life Insurance Company	301810	Agent - Life	7/20/1999	10/9/2000
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - General Lines	12/17/1999	8/15/2000
Inactive	Union Insurance Company of Providence	842791	Agent - Casualty	4/25/2018	8/14/2023
Inactive	Union Insurance Company of Providence	842791	Agent - Property	4/25/2018	8/14/2023
Active	United Financial Casualty Company	301886	Agent - Casualty	12/16/2022
Active	United Financial Casualty Company	301886	Agent - Property	12/16/2022
Inactive	Unitrin Auto and Home Insurance Company	301538	Agent - Casualty	6/26/2008	1/31/2018
Inactive	Unitrin Auto and Home Insurance Company	301538	Agent - Property	6/26/2008	1/31/2018
Inactive	Unitrin Preferred Insurance Company	502869	Agent - Casualty	6/26/2008	12/2/2013
Inactive	Unitrin Preferred Insurance Company	502869	Agent - Property	6/26/2008	12/2/2013
Inactive	Westfield Champion Insurance Company	1054839	Agent - Casualty	6/2/2021	6/11/2021
Inactive	Westfield Champion Insurance Company	1054839	Agent - Property	6/2/2021	6/11/2021
Inactive	Westfield Insurance Company	301950	Agent - Casualty	4/26/2018	11/3/2022
Inactive	Westfield Insurance Company	301950	Agent - Property	4/26/2018	11/3/2022
Inactive	Westfield Premier Insurance Company	1055055	Agent - Casualty	6/2/2021	6/11/2021
Inactive	Westfield Premier Insurance Company	1055055	Agent - Property	6/2/2021	6/11/2021
Inactive	Westfield Superior Insurance Company	1054978	Agent - Casualty	6/2/2021	6/11/2021
Inactive	Westfield Superior Insurance Company	1054978	Agent - Property	6/2/2021	6/11/2021
Inactive	Westfield Touchstone Insurance Company	1055057	Agent - Casualty	6/2/2021	6/11/2021
Inactive	Westfield Touchstone Insurance Company	1055057	Agent - Property	6/2/2021	6/11/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Rick Preston Insurance, Inc.	527508	Agent - Life	1/5/2004	3/31/2007
Inactive	Rick Preston Insurance, Inc.	527508	Agent - Property	6/11/2001	3/31/2007
Inactive	Rick Preston Insurance, Inc.	527508	Agent - Casualty	6/11/2001	3/31/2007
Inactive	Rick Preston Insurance, Inc.	527508	Agent - Health	1/13/2005	3/31/2007
Denied	Sturm Insurance Agency Inc.	399772	Agent - Life
Inactive	Sturm Insurance Agency Inc.	399772	Agent - Property	4/25/2018	9/21/2022
Inactive	Sturm Insurance Agency Inc.	399772	Agent - Casualty	4/25/2018	9/21/2022
Inactive	Sturm Insurance Agency Inc.	399772	Agent - Health	9/23/2008	1/31/2018