DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Caudill, Quenton	DOIID	353643	NAIC NPN	7193043

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	General Lines	1/6/1959	8/15/2000
Inactive	Resident	Agent	Property	8/15/2000	6/29/2022
Inactive	Resident	Agent	Health	1/6/1959	6/29/2022
Inactive	Resident	Agent	Casualty	8/15/2000	6/29/2022
Inactive	Resident	Agent	Life	1/6/1959	6/29/2022
AFFIDAVIT ON FILE
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Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	1/6/1959	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
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	2/11/2008	6/29/2022
Inactive	Bristol West Insurance Company	301655	Agent - Property	2/11/2008	6/29/2022
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	3/2/1993	3/31/1997
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	3/2/1993	3/31/1997
Inactive	FB Insurance Company (The)	301763	Agent - Casualty	8/15/2000	6/29/2022
Inactive	FB Insurance Company (The)	301763	Agent - General Lines	8/28/1969	8/15/2000
Inactive	FB Insurance Company (The)	301763	Agent - Property	8/15/2000	6/29/2022
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	7/14/2004	6/29/2022
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	7/14/2004	6/29/2022
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	5/23/1994	1/17/1996
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	5/23/1994	1/17/1996
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	8/15/2000	6/29/2022
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - General Lines	1/6/1959	8/15/2000
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	8/15/2000	6/29/2022
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	1/6/1959	6/29/2022
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	1/6/1959	6/29/2022

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	6/29/2022
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	8/15/1988	6/29/2022
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	8/15/2000	6/29/2022
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	8/15/2000	6/29/2022
Inactive	Medlink Inc	400721	Agent - Life	9/24/2002	6/29/2022
Inactive	Medlink Inc	400721	Agent - Health	9/24/2002	6/29/2022