DEPARTMENT OF INSURANCE

Affiliations

Name	Kaiser, Andrew Todd	DOIID	353612	NAIC NPN	7193037

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	4/17/1996		8/31/2027
Active	Resident	Agent	Life	4/17/1996		8/31/2027
Active	Resident	Agent	Casualty	8/15/2000		8/31/2027
Active	Resident	Agent	Property	8/15/2000		8/31/2027
Inactive	Resident	Agent	General Lines	4/17/1996	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	06/15/2025	08/31/2025	02/07/2025	02/07/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	7/15/2015	11/14/2021
Inactive	American Family Home Insurance Company	301817	Agent - Property	7/15/2015	11/14/2021
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	10/9/2018
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	10/9/2018
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	7/15/2015	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	7/15/2015	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	7/15/2015	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	7/15/2015	11/14/2021
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/31/2025
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	11/1/2022	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/12/2021
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	2/11/2008	12/20/2024
Inactive	Bristol West Insurance Company	301655	Agent - Property	2/11/2008	12/20/2024
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	11/1/2022
Active	Dairyland Insurance Company	301370	Agent - Casualty	1/25/2010
Active	Dairyland Insurance Company	301370	Agent - Property	1/25/2010
Active	FB Insurance Company (The)	301763	Agent - Casualty	8/15/2000
Inactive	FB Insurance Company (The)	301763	Agent - General Lines	4/17/1996	8/15/2000
Active	FB Insurance Company (The)	301763	Agent - Property	8/15/2000
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	7/2/2004
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	7/2/2004
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	1/11/2006	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	1/11/2006	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	4/17/1996	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	4/17/1996
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	4/17/1996
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	5/3/2011	6/23/2017
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	5/3/2011	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
Inactive	Andrew T Kaiser Insurance Inc.	502104	Agent - General Lines	12/31/1999	8/15/2000
Active	Andrew T Kaiser Insurance Inc.	502104	Agent - Life	12/31/1999
Active	Andrew T Kaiser Insurance Inc.	502104	Agent - Health	12/31/1999
Active	Andrew T Kaiser Insurance Inc.	502104	Agent - Property	8/15/2000
Active	Andrew T Kaiser Insurance Inc.	502104	Agent - Casualty	8/15/2000
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	12/22/2004	2/9/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/6/2013	2/13/2025
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/6/2013	2/13/2025
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - General Lines	4/25/1996	8/15/2000
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	4/25/1996
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	4/25/1996
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	Southern Capital Brokerage Co LLC	577403	Agent - Life	10/22/2007
Active	Southern Capital Brokerage Co LLC	577403	Agent - Health	10/22/2007