DEPARTMENT OF INSURANCE

Affiliations

Name	Cornett, Perry S	DOIID	340960	NAIC NPN	7187481

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	11/18/1997		1/31/2025
Active	Resident	Agent	Life	11/18/1997		1/31/2025
Active	Resident	Agent	Property	8/15/2000		1/31/2025
Active	Resident	Agent	Casualty	8/15/2000		1/31/2025
Inactive	Resident	Agent	General Lines	11/18/1997	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	American Modern Home Insurance Company	300791	Agent - Casualty	1/26/2023
Active	American Modern Home Insurance Company	300791	Agent - Property	1/26/2023
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	9/6/2018
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	9/6/2018
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	10/11/2016	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	10/11/2016	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	3/22/2018	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	3/22/2018	11/14/2021
Active	Bristol West Insurance Company	301655	Agent - Casualty	2/11/2008
Active	Bristol West Insurance Company	301655	Agent - Property	2/11/2008
Active	Dairyland Insurance Company	301370	Agent - Casualty	8/15/2000
Inactive	Dairyland Insurance Company	301370	Agent - General Lines	1/8/1998	8/15/2000
Active	Dairyland Insurance Company	301370	Agent - Property	8/15/2000
Active	FB Insurance Company (The)	301763	Agent - Casualty	8/15/2000
Inactive	FB Insurance Company (The)	301763	Agent - General Lines	11/18/1997	8/15/2000
Active	FB Insurance Company (The)	301763	Agent - Property	8/15/2000
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	11/17/2004
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	11/17/2004
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	1/13/2006	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	1/13/2006	12/30/2009
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	3/7/2012	11/19/2016
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	9/19/2008	6/8/2011
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	8/15/2000
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - General Lines	11/18/1997	8/15/2000
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	8/15/2000
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	11/18/1997
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	11/18/1997
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	5/2/2011	6/23/2017
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	5/2/2011	6/23/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Designated Agent Company Inc.	681257	Agent - Life	12/12/2013
Active	Designated Agent Company Inc.	681257	Agent - Health	12/12/2013
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - General Lines	12/19/1997	8/15/2000
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	12/19/1997
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	12/19/1997
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	8/15/2000
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	8/15/2000
Active	Steve Cornett, Inc.	871839	Agent - Life	3/11/2015
Active	Steve Cornett, Inc.	871839	Agent - Health	3/11/2015
Active	Steve Cornett, Inc.	871839	Agent - Property	3/11/2015
Active	Steve Cornett, Inc.	871839	Agent - Casualty	3/11/2015