DEPARTMENT OF INSURANCE

Affiliations

Name	Faulkner, Teresa Kaye	DOIID	340983	NAIC NPN	7187498

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	12/17/2014	3/31/2022
Inactive	Resident	Agent	Casualty	7/9/2009	3/31/2022
Inactive	Resident	Agent	Health	12/16/2014	3/31/2022
Inactive	Resident	Agent	Property	7/9/2009	3/31/2022
* 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	ACE American Insurance Company	300625	Agent - Casualty	7/14/2015	3/31/2022
Inactive	ACE American Insurance Company	300625	Agent - Property	7/14/2015	3/31/2022
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	6/8/2012	12/5/2018
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	6/8/2012	12/5/2018
Inactive	All America Insurance Company	300078	Agent - Casualty	8/7/2014	12/5/2018
Inactive	All America Insurance Company	300078	Agent - Property	8/7/2014	12/5/2018
Inactive	American Commerce Insurance Company	301665	Agent - Casualty	11/22/2016	3/31/2018
Inactive	American Commerce Insurance Company	301665	Agent - Property	11/22/2016	3/31/2018
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	2/15/2016	12/7/2018
Inactive	American Modern Home Insurance Company	300791	Agent - Property	2/15/2016	12/7/2018
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	2/15/2016	12/7/2018
Inactive	American Modern Select Insurance Company	581481	Agent - Property	2/15/2016	12/7/2018
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	2/15/2016	12/7/2018
Inactive	American Southern Home Insurance Company	626276	Agent - Property	2/15/2016	12/7/2018
Inactive	Ansur America Insurance Company	520667	Agent - Casualty	2/16/2015	12/5/2018
Inactive	Ansur America Insurance Company	520667	Agent - Property	2/16/2015	12/5/2018
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Casualty	8/24/2009	12/20/2018
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Property	8/24/2009	12/20/2018
Inactive	Auto-Owners Life Insurance Company	301368	Agent - Health	1/14/2015	12/5/2018
Inactive	Auto-Owners Life Insurance Company	301368	Agent - Life	1/14/2015	12/5/2018
Inactive	Bankers Standard Insurance Company	301620	Agent - Casualty	7/14/2015	3/31/2022
Inactive	Bankers Standard Insurance Company	301620	Agent - Property	7/14/2015	3/31/2022
Inactive	Banner Life Insurance Company	301696	Agent - Life	6/23/2015	3/31/2022
Inactive	Bridgefield Casualty Insurance Company	500013	Agent - Casualty	7/25/2012	3/31/2022
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	7/14/2010	1/14/2019
Inactive	Bristol West Insurance Company	301655	Agent - Property	7/14/2010	1/14/2019
Inactive	Central Insurance Company	300965	Agent - Casualty	8/7/2014	12/5/2018
Inactive	Central Insurance Company	300965	Agent - Property	8/7/2014	12/5/2018
Inactive	Countryway Insurance Company	300809	Agent - Casualty	3/1/2010	2/13/2014
Inactive	Countryway Insurance Company	300809	Agent - Property	3/1/2010	2/13/2014
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	11/10/2010	9/23/2019
Inactive	Dairyland Insurance Company	301370	Agent - Property	11/10/2010	9/23/2019
Inactive	Farmers Insurance Exchange	300336	Agent - Casualty	7/14/2010	8/20/2012
Inactive	Farmers Insurance Exchange	300336	Agent - Property	7/14/2010	8/20/2012
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/21/2010	1/14/2019
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/21/2010	1/14/2019
Inactive	Frankenmuth Insurance Company	301481	Agent - Casualty	2/16/2015	12/5/2018
Inactive	Frankenmuth Insurance Company	301481	Agent - Property	2/16/2015	12/5/2018
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	1/27/2015	5/15/2019
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	1/27/2015	5/15/2019
Inactive	Grange Insurance Company	300234	Agent - Casualty	1/27/2015	5/15/2019
Inactive	Grange Insurance Company	300234	Agent - Property	1/27/2015	5/15/2019
Inactive	Grange Life Insurance Company	300128	Agent - Life	1/27/2015	5/15/2019
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	1/27/2015	5/15/2019
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	1/27/2015	5/15/2019
Inactive	Hallmark National Insurance Company	300494	Agent - Casualty	7/22/2009	1/12/2010
Inactive	Hallmark National Insurance Company	300494	Agent - Property	7/22/2009	1/12/2010
Inactive	Indemnity Insurance Company of North America	301760	Agent - Casualty	7/14/2015	3/31/2022
Inactive	Indemnity Insurance Company of North America	301760	Agent - Property	7/14/2015	3/31/2022
Inactive	Kansas City Life Insurance Company	301444	Agent - Life	5/1/2019	3/31/2022
Inactive	Kentucky National Insurance Company	301625	Agent - Casualty	9/14/2015	3/31/2022
Inactive	Kentucky National Insurance Company	301625	Agent - Property	9/14/2015	3/31/2022
Inactive	Meridian Security Insurance Company	300423	Agent - Casualty	7/22/2009	1/12/2010
Inactive	Meridian Security Insurance Company	300423	Agent - Property	7/22/2009	1/12/2010
Inactive	Pacific Employers Insurance Company	301753	Agent - Casualty	7/14/2015	3/31/2022
Inactive	Pacific Employers Insurance Company	301753	Agent - Property	7/14/2015	3/31/2022
Inactive	Principal National Life Insurance Company	301926	Agent - Life	10/30/2018	3/31/2022
Inactive	Privilege Underwriters Reciprocal Exchange	769657	Agent - Casualty	12/13/2016	12/7/2018
Inactive	Privilege Underwriters Reciprocal Exchange	769657	Agent - Property	12/13/2016	12/7/2018
Inactive	Pruco Life Insurance Company	300954	Agent - Life	12/10/2015	12/22/2016
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	9/18/2012	1/29/2018
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	9/18/2012	1/29/2018
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	9/18/2012	1/29/2018
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	9/18/2012	1/29/2018
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - Casualty	7/22/2009	1/12/2010
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - Property	7/22/2009	1/12/2010
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	7/22/2009	1/11/2010
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	7/22/2009	1/11/2010
Inactive	Truck Insurance Exchange	300335	Agent - Casualty	7/14/2010	8/20/2012
Inactive	Truck Insurance Exchange	300335	Agent - Property	7/14/2010	8/20/2012
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	1/27/2015	5/15/2019
Inactive	Trustgard Insurance Company	300104	Agent - Property	1/27/2015	5/15/2019
Inactive	West Bend Insurance Company	672974	Agent - Casualty	9/2/2015	12/14/2018
Inactive	West Bend Insurance Company	672974	Agent - Property	9/2/2015	12/14/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assuredpartners NL, LLC	762387	Agent - Property	4/2/2020	3/31/2022
Inactive	Assuredpartners NL, LLC	762387	Agent - Casualty	1/25/2013	3/31/2022
Inactive	Assuredpartners NL, LLC	762387	Agent - Health	1/22/2015	12/5/2018
Inactive	Assuredpartners NL, LLC	762387	Agent - Life	4/2/2020	3/31/2022
Inactive	Insurors of KY Inc.	398417	Agent - Property	7/22/2009	3/31/2014
Inactive	Insurors of KY Inc.	398417	Agent - Casualty	7/22/2009	3/31/2014