DEPARTMENT OF INSURANCE

Affiliations

Name	Rose, James Dustin	DOIID	338820	NAIC NPN	7186562

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	General Lines	2/15/1996	8/15/2000
Inactive	Resident	Agent	Property	8/15/2000	9/27/2023
Inactive	Resident	Agent	Casualty	8/15/2000	9/27/2023
Inactive	Resident	Agent	Health	2/15/1996	9/20/2023
Inactive	Resident	Agent	Life	2/15/1996	9/20/2023
* 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 Heritage Life Insurance Company	300272	Agent - Health	3/2/2005	6/23/2008
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	3/2/2005	6/23/2008
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	1/26/2023	9/27/2023
Inactive	American Modern Home Insurance Company	300791	Agent - Property	1/26/2023	9/27/2023
Inactive	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	11/7/2018	9/27/2023
Inactive	American Modern Property and Casualty Insurance Company	301954	Agent - Property	11/7/2018	9/27/2023
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	11/26/2015	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	11/26/2015	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	4/19/2016	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	4/19/2016	11/14/2021
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	2/11/2008	9/27/2023
Inactive	Bristol West Insurance Company	301655	Agent - Property	2/11/2008	9/27/2023
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	1/6/2012	9/27/2023
Inactive	Dairyland Insurance Company	301370	Agent - Property	1/6/2012	9/27/2023
Inactive	FB Insurance Company (The)	301763	Agent - Casualty	8/15/2000	9/20/2023
Inactive	FB Insurance Company (The)	301763	Agent - Property	8/15/2000	9/20/2023
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	7/12/2004	9/27/2023
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	7/12/2004	9/27/2023
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	10/24/2005	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	10/24/2005	12/30/2009
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	9/19/2008	6/8/2011
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	9/19/2008	6/8/2011
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	8/15/2000	9/20/2023
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - General Lines	2/15/1996	8/15/2000
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	8/15/2000	9/27/2023
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	2/15/1996	9/20/2023
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	2/15/1996	9/20/2023
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	5/4/2011	6/26/2017
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	5/4/2011	6/26/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/13/2013	9/20/2023
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/13/2013	9/20/2023
Inactive	J Dustin Rose Ins Inc.	399617	Agent - Life	8/16/1999	9/27/2023
Inactive	J Dustin Rose Ins Inc.	399617	Agent - Health	8/16/1999	9/27/2023
Inactive	J Dustin Rose Ins Inc.	399617	Agent - Property	5/2/2002	9/27/2023
Inactive	J Dustin Rose Ins Inc.	399617	Agent - Casualty	5/2/2002	9/27/2023
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - General Lines	4/15/1996	8/15/2000
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	4/15/1996	9/22/2023
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	4/15/1996	9/22/2023
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	8/15/2000	9/22/2023
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	8/15/2000	9/22/2023