DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Clay, Glen Steven	DOIID	345826	NAIC NPN	7189572

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	12/28/1984	10/19/2008
Inactive	Resident	Agent	General Lines	12/28/1984	8/15/2000
Inactive	Resident	Agent	Casualty	8/15/2000	10/19/2008
Inactive	Resident	Agent	Health Maintenance Organization	3/13/1995	3/31/1997
Inactive	Resident	Agent	Health	12/28/1984	10/19/2008
Inactive	Resident	Agent	Property	8/15/2000	1/27/2009
* 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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	3/13/1995	3/31/1997
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	12/28/1984	3/31/1998
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	8/15/2000	10/19/2008
Inactive	Dairyland Insurance Company	301370	Agent - General Lines	8/6/1999	8/15/2000
Inactive	Dairyland Insurance Company	301370	Agent - Property	8/15/2000	10/30/2008
Inactive	FB Insurance Company (The)	301763	Agent - Casualty	8/15/2000	10/22/2008
Inactive	FB Insurance Company (The)	301763	Agent - General Lines	12/28/1984	8/15/2000
Inactive	FB Insurance Company (The)	301763	Agent - Property	8/15/2000	10/22/2008
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	7/14/2004	1/27/2009
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	7/14/2004	1/27/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	1/13/2006	10/19/2008
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	1/13/2006	10/19/2008
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	9/19/2008	11/29/2008
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	9/19/2008	11/29/2008
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	8/15/2000	10/22/2008
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - General Lines	12/28/1984	8/15/2000
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	8/15/2000	10/22/2008
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	12/28/1984	10/22/2008
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	12/28/1984	10/22/2008

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 - General Lines	8/15/1988	8/15/2000
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	8/15/1988	10/22/2008
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	8/15/1988	10/22/2008
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	8/15/2000	10/22/2008
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	8/15/2000	10/22/2008
Inactive	Steve Clay Insurance Inc.	679747	Agent - Life	4/30/2008	10/19/2008
Inactive	Steve Clay Insurance Inc.	679747	Agent - Health	4/30/2008	10/19/2008
Inactive	Steve Clay Insurance Inc.	679747	Agent - Property	4/30/2008	1/27/2009
Inactive	Steve Clay Insurance Inc.	679747	Agent - Casualty	4/30/2008	1/27/2009