DEPARTMENT OF INSURANCE

Affiliations

Name	Sirls, Mickey Don	DOIID	353285	NAIC NPN	7192868

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	9/2/1980		1/31/2025
Active	Resident	Agent	Property	8/15/2000		1/31/2025
Active	Resident	Agent	Casualty	8/15/2000		1/31/2025
Active	Resident	Agent	Health	9/2/1980		1/31/2025
Inactive	Resident	Agent	General Lines	9/2/1980	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	9/17/2018
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	9/17/2018
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	7/21/2015	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	7/21/2015	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	8/17/2015	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	8/17/2015	11/14/2021
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/2/1980	3/31/1998
Inactive	Anthem Life Insurance Company	301209	Agent - Health	4/13/1993	12/31/1998
Inactive	Anthem Life Insurance Company	301209	Agent - Life	4/13/1993	12/31/1998
Active	Berkshire Life Insurance Company of America	300983	Agent - Health	8/28/2012
Active	Berkshire Life Insurance Company of America	300983	Agent - Life	8/28/2012
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	3/29/2002
Active	FB Insurance Company (The)	301763	Agent - Casualty	8/15/2000
Inactive	FB Insurance Company (The)	301763	Agent - General Lines	9/2/1980	8/15/2000
Active	FB Insurance Company (The)	301763	Agent - Property	8/15/2000
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	7/8/2004
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	7/8/2004
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	8/28/2012	10/5/2021
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	8/28/2012	10/5/2021
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	11/3/2006	11/18/2008
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	11/3/2006	11/18/2008
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	11/1/2005	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	11/1/2005	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
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	8/15/2000
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - General Lines	9/2/1980	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	9/2/1980
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	9/2/1980
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
Active	Designated Agent Company Inc.	681257	Agent - Life	12/11/2013
Active	Designated Agent Company Inc.	681257	Agent - Health	12/11/2013
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - General Lines	8/15/1988	8/15/2000
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	8/15/1988
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	8/15/1988
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
Inactive	Southern Capital Brokerage Co LLC	577403	Agent - Life	9/7/2004	3/31/2007
Inactive	Southern Capital Brokerage Co LLC	577403	Agent - Health	9/7/2004	3/31/2007